| NPI | 1669914396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA CUEVAS ADAME Office Manager 909-365-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT35680) |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2020-09-10 |