NPI | 1437179959 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN WILLIAM WONG Owner 714-544-2188 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT13998) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT13997) |
2251S0007X Physical Therapist, Sports (Licence: CA PT13998) | |
2251X0800X Physical Therapist, Orthopedic (Licence: CA PT13997) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2020-08-22 |