| NPI | 1508306234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE RILEY Physical Therapist 909-590-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT292704) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |