| NPI | 1346619210 |
|---|---|
| Former Legal Business Name | PROSPORT PHYSICAL THERAPY-LAGUNA HILLS, INC |
| Entity Type | Organization |
| Authorized Contact | BOBBY ISMAIL President 209-353-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2023-12-06 |