| NPI | 1972029106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLO REYES Physical Therapyist/ Owner 310-995-0779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 33601) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2017-08-18 |