| NPI | 1417128125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILANA KALIKA Billing Supervisor 818-345-0504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT19092) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2009-05-04 |