| NPI | 1972824027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR STILES CEO 818-436-0451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT32335) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |