| NPI | 1396254249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMAN ALLAN SAMSON SOTELO PT/Owner 909-992-2152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028622) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2018-09-10 |