| NPI | 1588389001 |
|---|---|
| Former Legal Business Name | AIRPORT MARINA PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | CHARLES GYDEN Owner/Director 310-419-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2022-10-06 |