| NPI | 1093758849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH EILEEN MOSHENKO Office Manager 714-544-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT19841) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT19359) |
| 225100000X Physical Therapist (Licence: CA PT18163) | |
| 225100000X Physical Therapist (Licence: CA PT20214) | |
| 225100000X Physical Therapist (Licence: CA PT26971) | |
| 225100000X Physical Therapist (Licence: CA PT37322) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2011-01-26 |