| NPI | 1861565806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOAD A SALAM Physical Therapist Office Manager 714-842-6171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2011-12-13 |