| NPI | 1972104594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUCHA KELKAR Physical Therapist 949-293-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2021-02-08 |