| NPI | 1508986639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY BAGTAS FAUNI Physical Therapist 909-438-0312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 26qp2000x) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |