| NPI | 1437211919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET JOSEPH BACCIOCCO CEO Clinical Director 818-783-2396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: CA 10102) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2011-09-28 |