| NPI | 1679878151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON CLEROU OSWALD Owner 310-869-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT33443) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-03-25 |