| NPI | 1477651644 |
|---|---|
| Doing Business As | OTA PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | LYNDA J TRACHTMAN Vice President CFO 714-993-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT6381) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT11894) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-06-26 |