| NPI | 1093889438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KOERNER President 714-785-6573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 12770) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT 650) |
| 225XH1200X Occupational Therapist, Hand (Licence: CA OT 650 1011100308) | |
| Enumeration Date | 2006-11-18 |
| Last Update Date | 2012-03-14 |