| NPI | 1396737896 |
|---|---|
| Doing Business As | THERA SPORT |
| Entity Type | Organization |
| Authorized Contact | DAVID ROUS President 661-327-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2020-11-25 |