| NPI | 1255489332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE HYMANSON Owner 310-477-8622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: CA PT7543) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2016-08-17 |