| NPI | 1649593690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER KURT THEIS President 310-264-8385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA g29942) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-03-04 |