| NPI | 1114484391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYUNG RAN TAE CEO 714-670-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |