| NPI | 1780914234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK ANTHONY PLONKA Physical Therapist 310-453-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 142012) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |