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 | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist, | |
261QR0400X Clinic/Center, Rehabilitation | |
Enumeration Date | 2025-01-14 |
Last Update Date | 2025-03-18 |