| NPI | 1912214032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HEDIEN Owner 310-374-1614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT26401) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2025-02-09 |