| NPI | 1700151230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEMAR D GERVACIO President 818-207-0529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |