| NPI | 1346300670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA WANG Director Of Resource Management 626-683-8536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT18149) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2023-02-02 |