| NPI | 1164453890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS FERNANDO RODRIGUEZ CEO 818-988-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT28150) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |