| NPI | 1154828572 |
|---|---|
| Doing Business As | ELITE FUNCTIONAL THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | RAFAEL AUGUSTO RIOS President 909-561-8611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: CA DC26480) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |