| NPI | 1710531678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM PATRICE HOUSER CFO 626-389-6436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |