| NPI | 1669099065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANITA MACK Director Of Operations 310-916-9423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |