| NPI | 1013315795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN ALEXANDER THOMAS CEO/President 909-799-9042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA G63991) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |