NPI | 1689357501 |
---|---|
Entity Type | Organization |
Authorized Contact | PRICELDA CID Owner 310-920-9104 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
Additional Taxonomies | 225X00000X Occupational Therapist |
261QR0400X Clinic/Center Rehabilitation | |
Enumeration Date | 2023-08-08 |
Last Update Date | 2023-11-10 |