NPI | 1548754658 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS V DEGUZMAN Owner 909-592-2778 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2018-06-21 |
Last Update Date | 2018-06-21 |