NPI | 1588026371 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD STEPHEN BEAUCHAMP Owner 714-377-4311 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 38002) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: CA 38002) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2017-02-14 |