| NPI | 1417485889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITREE MICHAEL PIROMGRAIPAKD President 909-567-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT28630) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand |
| 2251N0400X Physical Therapist, Neurology | |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225XH1200X Occupational Therapist, Hand | |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2024-01-30 |