| NPI | 1598101065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABRICE GAUTIER Owner 310-273-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT27208) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2016-04-12 |