| NPI | 1457720179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERI MELOYAN Owner 424-249-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT 39933) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2016-09-27 |