| NPI | 1255756680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MOSHENKO Office Manager 714-544-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT19841) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2014-02-21 |