| NPI | 1942967617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI MCGOVERN TRIVELPIECE Owner/Physical Therapist 619-818-6873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2022-02-14 |