| NPI | 1164554911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN LUCY CARROLL CEO 714-334-1014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 18207) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2021-11-09 |