| NPI | 1881468817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADISON MACKENZIE BURKE CEO 626-360-2717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2023-11-09 |