| NPI | 1912936840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KENNETH MCKINDLEY Owner 714-379-4510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT25272) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT13058) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2011-08-01 |