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 |