| NPI | 1992887616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY KISHINO Director 951-653-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251H1200X Physical Therapist, Hand | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2022-07-21 |