NEUROTRACE

NPI # 

Practice Address:

4611 Virginia Ave

San Diego, CA, 92115-4130

Practice Phone:

805-857-3995

Practice Fax:

310-280-6998

License Number:

WPT3422A

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Physical Therapy

Taxonomy Code:

261QP2000X