NPI | 1073603858 |
---|---|
Doing Business As | PROFESSIONAL ORTHOPEDIC AND SPORTS CARE |
Entity Type | Organization |
Authorized Contact | KEVIN LEE WENTZ Owner 626-356-0599 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA WPT14957B) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA WPT21776B) |
261QP2000X Clinic/Center, Physical Therapy (Licence: CA WPT27120B) | |
261QP2000X Clinic/Center, Physical Therapy (Licence: CA WPT20125B) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2015-05-13 |