| NPI | 1457547291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC LAUDENSLAGER PT/Owner 909-797-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT8450) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2008-08-18 |