| NPI | 1992021174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MESIH AZIZ Director Of Physical Therapy 760-340-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT15402) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2011-04-28 |