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 |