| NPI | 1114211885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEAZAR SOMINTAC TAYAG CEO 909-509-6064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 33402) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2023-10-15 |