| NPI | 1902472459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL VIDA Office Manager 714-904-8432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-11-23 |