| NPI | 1972295848 |
|---|---|
| Doing Business As | SPORTS LAB & PT |
| Doing Business As | SPORTS LAB |
| Entity Type | Organization |
| Authorized Contact | LEANDRO M BASTOS Physical Therapist 562-212-8477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |