| NPI | 1841856689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADER THEODORY Authorized Official 949-272-3325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2022-09-23 |