| NPI | 1184252207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR REALON-ESTACIO President 714-761-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |