| NPI | 1306927421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANNES Owner And Director 310-204-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT 9812) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |