NPI | 1912593237 |
---|---|
Entity Type | Organization |
Authorized Contact | JORDAN GUY CLAYBORNE Owner 310-405-1945 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
Enumeration Date | 2020-12-21 |
Last Update Date | 2020-12-21 |