| NPI | 1497771885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHETT SHANNON PATRICK President 818-995-0918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT24157) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2009-04-01 |