| NPI | 1144389701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIS Y. KOH Physical Therapist 949-540-5641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT21306) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2023-09-11 |