| Organization Name: | THE STARTING BLOCK |
| NPI Number: | 1215090048 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY CRESS (OWNER) |
| Mailing Address: | 150 Sierra St El Segundo |
| State: | CA US |
| Postal Code: | 902454117 |
| Phone Number: | 3104269406 |
| Fax Number: | |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 26382 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |