NPI | 1104284223 |
---|---|
Former Legal Business Name | INBALANCE ACU PHYSICAL THERAPY PC |
Entity Type | Organization |
Authorized Contact | LORY YEH Director 626-551-1108 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA AC14972) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT35876) |
Enumeration Date | 2016-02-03 |
Last Update Date | 2020-02-18 |