| NPI | 1720391097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASMAT BININASHVILI President 323-893-5844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 18811) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 9023) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-10-15 |