| NPI | 1295467116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PACE Owner 213-804-1712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-06-29 |