| NPI | 1164590717 |
|---|---|
| Other Name | INNOVATIVE WELLNESS DBA |
| Entity Type | Organization |
| Authorized Contact | JAMES K CHO President 562-965-1452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 26577) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |