| NPI | 1932578085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN WAISTELL Physcal Therapist, Owner 805-980-8487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT29176) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |