| NPI | 1932875804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK BRIAN CHAVEZ Owner/Lead Therapist 858-761-6396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-08-19 |