| NPI | 1447884614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT LLOYD CAMPBELL Owner 310-456-9705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-05-21 |