| NPI | 1902912181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE RANDALL Physical Therapist 818-784-3096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT8407) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-09-18 |