| NPI | 1215792379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA BARRETT CEO 909-754-0683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist Neurology |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics |
| 2251P0200X Physical Therapist Pediatrics | |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |