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 |