| NPI | 1659975563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RUGGLES Owner 909-803-7120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-24 |