| 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 |