| NPI | 1679543169 |
|---|---|
| Other Name | DBA: WESTSIDE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | PATTI MAE HALL Administrator 310-373-5288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2011-11-03 |