NPI | 1508315318 |
---|---|
Entity Type | Organization |
Authorized Contact | HEIDI LYNN GASTLER President 310-567-2293 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 38261) |
Enumeration Date | 2016-09-22 |
Last Update Date | 2020-05-19 |