| NPI | 1558944256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL FERNANDEZ Physical Therapist Assistant 818-926-3089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-05-03 |