| NPI | 1740657444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY GRAHAM CFO 310-490-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT23979) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT23946) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |