| NPI | 1295513562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER EVAN JOHNSON Physical Therapist, Owner, Founder 909-503-5438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |