| NPI | 1821177767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOS THEOHARATOS Administrative Partner 562-924-8837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |