| NPI | 1215689880 |
|---|---|
| Former Legal Business Name | WELLNESS TRIBE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | ALEX ZHIDETSKIY Physical Therapist 562-761-9942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2023-11-16 |