| 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 |