| NPI | 1932367232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SITIPON CHAVATIPN Owner 714-213-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT26575) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |