| NPI | 1043423452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERENE HUBBARD President 818-703-7146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT27373) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT27373) |
| 225XH1200X Occupational Therapist, Hand (Licence: CA AA321331) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |