| NPI | 1528289667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLE DEAIBES Registered Physical Therapist 818-506-4119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 18580) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |