| NPI | 1962100180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL HAZELTON CEO 858-353-7702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-06-12 |