| NPI | 1134742364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY DAVID PEVNICK President 310-907-9215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251C2600X Physical Therapist, Cardiopulmonary |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2251N0400X Physical Therapist, Neurology | |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 225XE0001X Occupational Therapist, Environmental Modification | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-08-11 |