| NPI | 1306525787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DURNELL Owner 310-896-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-13 |