NPI | 1194277418 |
---|---|
Entity Type | Organization |
Authorized Contact | RODIEL KIRBY LAYSON BALOY President/Owner 714-600-1758 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT34304) |
Enumeration Date | 2016-11-03 |
Last Update Date | 2016-11-03 |