| NPI | 1861583072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT C ALSTADT Chief Executive 818-999-4076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA WPT9114B) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA WPT9224B) |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-08-02 |