| NPI | 1376206391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS OIFOH Owner 562-331-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-10-17 |
| Last Update Date | 2021-10-17 |