| NPI | 1528517414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHAN YACOUBIAN Director/Officer 818-841-3936 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |