| NPI | 1578592424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE P TYSSEE Owner 310-376-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT23254) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2023-06-10 |