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 |