| NPI | 1134944523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA MEGHANI SOOD Authorized Official 909-462-2879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |