| NPI | 1780749697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON COLLINS President 310-434-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 20584) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2012-12-20 |