NPI | 1386978765 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL PARKER Physical Therapist 909-594-3949 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CA 10160) |
Enumeration Date | 2009-10-01 |
Last Update Date | 2013-08-03 |