| NPI | 1194759159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUFORD KERSHAW HARMON Owner 626-960-2853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT5299) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2009-05-12 |