| NPI | 1003429440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAVIN ONGSINGCO Owner, Physical Therapist 818-326-4817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-10-06 |