| NPI | 1700143690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA PARKER President 626-720-3687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36950) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 10025) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |