| NPI | 1932851177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVANIA CASTLE Billing Manager/ Credentialing 619-432-4634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-09-15 |