| NPI | 1326867185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ROSE DOMINGUEZ Occupational Therapist 323-736-1893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |