| NPI | 1417175415 |
|---|---|
| Other Name | BODY REFORM |
| Entity Type | Organization |
| Authorized Contact | SHANNON B. HARRIS CEO, Physical Therapist 310-247-8414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT 24206) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |