| NPI | 1114198462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE SAM BORLAND Physical Therapist 626-445-1978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT5821) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |