| 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 |