| Organization Name: | PALOS VERDES REHABILITATION CLINIC |
| NPI Number: | 1487648341 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN P O'CONNOR (PHYSICAL THERAPY DIRECTOR) |
| Mailing Address: | 28924 S Western Ave Suite 101 Rancho Palos Verdes |
| State: | CA US |
| Postal Code: | 902750885 |
| Phone Number: | 3105480104 |
| Fax Number: | 3105480559 |
| NPI Enumeration Date: | 09/07/2005 |
| NPI Last Update Date: | 01/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |