| NPI | 1477260420 |
|---|---|
| Former Legal Business Name | ETHOS SPORT AND SPINE |
| Entity Type | Organization |
| Authorized Contact | ARIK KHACHIDOURIAN Physical Therapist 818-571-4278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |