| NPI | 1003163775 |
|---|---|
| Doing Business As | OUTBACK REHAB INC |
| Entity Type | Organization |
| Authorized Contact | ANDREW COTHAM Preident/CEO 323-401-1935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2012-08-12 |
| Last Update Date | 2012-08-12 |