| NPI | 1366717456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN LETGOLTS Owner/President 310-979-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT24350) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |