| NPI | 1790002095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANTHONY BERKOVICH President 310-918-0765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT26104) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |