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 |