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 |