| NPI | 1992582191 |
|---|---|
| Doing Business As | TYLER BACA PHYSIO |
| Entity Type | Organization |
| Authorized Contact | TYLER BACA Physical Therapist/ Owner 805-728-5894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |