| 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 |