| NPI | 1609149582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LABONETE RIVAS Physical Therapist 213-304-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033599-1) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |