| NPI | 1396997557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER VIVANCO Director 818-899-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT0203060) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |