| NPI | 1497135255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD STEPHEN BEAUCHAMP Doctor Of Physical Therapy/ Owner 310-721-1082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT 38002) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: CA PT 38002) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2017-03-23 |