| NPI | 1396205548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KWON CEO/President 818-792-0961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2022-06-03 |