NPI | 1366715013 |
---|---|
Entity Type | Organization |
Authorized Contact | JIM PARKER FERGUSON President/Owner Physical Therapist 909-474-9253 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT16695) |
Enumeration Date | 2012-02-10 |
Last Update Date | 2012-02-10 |