| NPI | 1023431046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WHITMAN Owner 323-719-1758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT 39223) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-05-13 |