| NPI | 1407458631 |
|---|---|
| Doing Business As | FUNCTIONAL PHYSICAL THERAPY AND REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | DAVID SONGCHAN IM Owner/President 626-449-9910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2020-12-23 |