| NPI | 1801481940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAISAL M GILL Legal Counsel 310-418-6675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2024-01-22 |