| NPI | 1699592782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABION MCGHEE Owner 323-641-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 226300000X Kinesiotherapist |
| 251T00000X PACE Provider Organization | |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP3300X Clinic/Center, Pain | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 261QS1000X Clinic/Center, Student Health | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2024-11-04 |