| NPI | 1699410555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PACE COO 213-804-1712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-09-07 |