| NPI | 1912732397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN MANDELL Owner/Physical Therapist 760-585-4885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-04 |