| NPI | 1730159690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PACE Owner, COO 213-804-1712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist (Licence: ND 25) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ND Whol1275) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2022-07-21 |