| NPI | 1295863645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN P DIZON President 909-636-8394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |