| NPI | 1720376403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BALLENTINE EVANS Owner, Physical Therapist 310-927-0039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 33278) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2011-07-15 |