| NPI | 1497400576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIA H YANG Owner 213-300-1089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |