| NPI | 1619153269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAVIS A MCCONNON President 818-402-6850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
| 175F00000X Naturopath | |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |