| NPI | 1487648341 |
|---|---|
| Former Legal Business Name | PALOS VERDES REHABILITATION CLINIC INC |
| Doing Business As | PROSPORT PHYSICAL THERAPY PALOS VERDES |
| Doing Business As | PALOS VERDES PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | BOBBY ISMAIL President 209-353-1988 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2023-12-06 |