| NPI | 1104430149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGHAN JANINE DONAHUE President/CEO 323-404-1027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2023-06-22 |