| NPI | 1154002483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARI THEOGENE LANDIS BAQUET Owner & Lead Clinician 310-773-7202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology |
| 2251S0007X Physical Therapist, Sports | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-07-28 |