NPI | 1871941989 |
---|---|
Entity Type | Organization |
Authorized Contact | ILDAR FAZULYANOV Chief Executive Officer 310-384-0970 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2016-05-31 |
Last Update Date | 2016-05-31 |