| NPI | 1114347903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY P MCCAULEY Physical Therapist 310-372-8551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic |
| Additional Taxonomies | 111NS0005X Chiropractor Sports Physician (Licence: CA D21802) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2016-04-26 |