| NPI | 1639219256 |
|---|---|
| Doing Business As | SOURCE REHAB P.T. |
| Entity Type | Organization |
| Authorized Contact | STEVE HING President 310-699-3369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |