| NPI | 1588977854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD DONAYRE Owner 310-752-3769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: CA PT28434) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |