| NPI | 1659791242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIEUMY MICHELLE THAI Medical Director 714-596-4288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT38963) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-06-17 |