| NPI | 1922490895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN SHAUN WILLIAMS Owner/ Physical Therapist 858-692-5835 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT20328) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |