| NPI | 1235645300 |
|---|---|
| Doing Business As | HERITAGE PARK HEALTHCARE THERAPY |
| Entity Type | Organization |
| Authorized Contact | SOON BURNAM Delegated Official 949-540-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2024-05-02 |