| NPI | 1366866246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD SANVICENTE President 909-971-9334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |