| NPI | 1619096336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE QUIPANES GUNNARSSON President 909-856-3845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT17159) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT26420) |
| 225X00000X Occupational Therapist (Licence: CA OT2416) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |