| NPI | 1740393693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENOUDA BAHGAT SALIB Physical Therapist / President 714-269-7986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2009-07-09 |