| NPI | 1063600658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOUSH MAKKI Office Manager 310-828-6584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT15905) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |