| NPI | 1336349745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOON PARK Physical Therapist 213-389-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT26124) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 6558) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 14272) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |