| NPI | 1265991319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNATHAN SCOTT MONTEIRO Owner/Physical Therapist 562-216-3028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |