| NPI | 1972294460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYLAN T NORMANDIN Manager 949-282-7201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |