NPI | 1326426644 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHAN TUCKER Chief Executive Officer 310-321-4967 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports |
Enumeration Date | 2015-05-07 |
Last Update Date | 2018-10-27 |