| NPI | 1437681459 |
|---|---|
| Doing Business As | REPAIR SPORTS INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | CHAD BEAUCHAMP Owner/ D PT 310-721-1082 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 38002) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: CA 38002) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA 38002) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |