| NPI | 1033809389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LORENZ DELACRUZPORTUGAL Physical Therapist 626-483-8945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-08-08 |