| NPI | 1912107657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA L. CHERMAK Director Of Physical Therapy 619-440-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2011-05-25 |