| NPI | 1649737982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA MAZALIAN CFO/Owner 818-747-4189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |