| NPI | 1043645567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERRYN TRACEY Operations Director 310-880-5601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 34748) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |