NPI | 1184811861 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA HAMMILL Billing Manager 310-475-6038 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT12856) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2018-03-19 |