| NPI | 1720605942 |
|---|---|
| Other Name | BISI WILTON-WADDELL |
| Entity Type | Organization |
| Authorized Contact | BISI N WILTON-WADDELL CEO 310-493-1356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-07-03 |