| NPI | 1417175175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER M AZIZ Director Of Therapy 909-773-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 15402) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |