| NPI | 1760762744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE S. WONG Physical Therapist 310-794-4923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 27548) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |