| NPI | 1659545630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ODINNI LAWRENCE Owner 909-581-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A84093) |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2008-06-20 |