NPI | 1750350476 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFF BLAKE Owner 310-392-7889 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT17676) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2017-12-04 |