| NPI | 1851754428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAN CARRICO Occupational Therapist 562-607-1937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA 11906) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: CA 11906) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |