| NPI | 1053440362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSERICA LOQUIERE Secretary 626-359-8759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 28533) |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2020-08-22 |