| NPI | 1407046881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW REDDICK PERRY Director 323-295-5836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT16833) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 49951) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2010-09-21 |