| NPI | 1861907230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE LOUISE MICELI Docter 323-721-3797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA dc26298) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |