| NPI | 1093115750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELINA WANDA SHELTON Owner/President 909-229-7980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT34098) |
| Enumeration Date | 2014-09-01 |
| Last Update Date | 2014-09-01 |