| NPI | 1265673842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ROBERT ADDISON Owner 714-625-7989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 34602) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: CA 34602) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |