| NPI | 1962755694 |
|---|---|
| Doing Business As | LIVE ATHLETICS |
| Entity Type | Organization |
| Authorized Contact | ZACHARY RAY Owner/Director 818-661-0779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT36231) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2018-05-08 |