| NPI | 1952703282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN ELDRIDGE Owner 424-214-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 37366) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-10-07 |