| NPI | 1053122689 |
|---|---|
| Doing Business As | PHOENIX MOUNTAIN THERAPY |
| Entity Type | Organization |
| Authorized Contact | SOON BURNAM Secretary 949-540-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2026-02-10 |