| NPI | 1952388639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT J PON Owner 818-846-3385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT18593) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2014-02-13 |