| NPI | 1053815654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL RAIZA DELA CRUZ CEO 562-467-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2019-01-10 |