Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jan 29, 2019
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3755 STARTOUCH DR | Pasadena, CA 91107-1339 | 626-345-8406 |
| LOCATION | 616 N GARFIELD AVE STE 403 | Monterey Park, CA 91754-1101 | 626-623-0343 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.