| NPI | 1093090409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KORYCINSKI Owner/Provider 310-652-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT37829) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |