| NPI | 1275716649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR SANTOS President 818-785-9892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT19896) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT29853) |
| Enumeration Date | 2007-12-09 |
| Last Update Date | 2007-12-09 |