| NPI | 1215153747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLLY BADT Physical Therapist 310-456-8301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT15196) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-08-07 |