| NPI | 1932869138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARRON LOTES THOMPSON Owner/President 619-282-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2021-12-29 |