| NPI | 1205685203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS THOI CHAU DUONG Physical Therapist 909-254-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-06-29 |