| NPI | 1598029159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NDIDIAMAKA DILLIBE MATTHEWS Owner 213-924-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT27434) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT27434) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |