| NPI | 1225204605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JACKSON Administrator 562-591-3492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA pt5788) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |