| NPI | 1942416052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LEE Owner 831-751-9644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT27530) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |