| NPI | 1902195696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN R JOHNSON Owner/CEO 310-488-4390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 25096) |
| Enumeration Date | 2011-04-03 |
| Last Update Date | 2011-04-03 |