| NPI | 1487826889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON BISHOP Owner 818-368-9484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT28298) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2025-07-30 |