| NPI | 1972809200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE HASKIN Physical Therapist/Owner 805-462-1110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2012-04-11 |