| NPI | 1992091987 |
|---|---|
| Doing Business As | OPTIMAL PERFORMANCE AND RECOVERY |
| Entity Type | Organization |
| Authorized Contact | BRYAN L ALES Clinic Owner 818-766-1128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: CA DC30278) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2013-07-08 |