| NPI | 1649930504 |
|---|---|
| Doing Business As | RESTORE PHYSICAL THERAPY AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | AMIE ROVANE GAHAN CEO/Owner/PT 310-938-2038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2022-01-18 |