| Organization Name: | WELLNESS & REHABILITATION PHYSICAL THERAPY & PILATES |
| NPI Number: | 1063651032 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BECKY LOUISE SHEAFFER-EGAN (PHYSICAL THERAPIST, CEO) |
| Mailing Address: | 7960 Soquel Drive Suite I Aptos |
| State: | CA US |
| Postal Code: | 950033990 |
| Phone Number: | 8317689707 |
| Fax Number: | 8316610296 |
| NPI Enumeration Date: | 02/13/2009 |
| NPI Last Update Date: | 05/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT21556 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |