| NPI | 1265529242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE VALLEJOS Owner / Office Manager 909-937-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT23546) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |