| NPI | 1235190711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH SANTOS Administrator 818-731-7173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2023-06-07 |