| NPI | 1972339570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT PETRY Physical Therapist / Owner 949-633-1057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |