| NPI | 1881788305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA ANN MEHL Owner Therapist 310-376-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT13256) |
| Additional Taxonomies | 2251S0007X Physical Therapist Sports (Licence: CA PT13256) |
| 2251X0800X Physical Therapist Orthopedic (Licence: CA PT13256) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |