| NPI | 1427429554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MILLER Owner 909-399-3359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 32957) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2018-05-10 |