| NPI | 1609976158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMAS ERMIAS ABRAHAM President 424-298-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT27774) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-03-04 |