| NPI | 1174964670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY W MATTESON Owner 562-799-4494 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: CA PT22434) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |