NPI | 1194135889 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIAM PASHTOONWAR BUTLER Doctor Of Physical Therapy 661-755-4751 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 32976) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 34642) |
Enumeration Date | 2014-05-02 |
Last Update Date | 2014-05-02 |