| NPI | 1134423650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER THOMPSON Secretary 310-721-6859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT32666) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |