| NPI | 1437179959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN WILLIAM WONG Owner 714-544-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT13997) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT13998) |
| 2251S0007X Physical Therapist, Sports (Licence: CA PT13998) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT13997) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2025-09-11 |