| NPI | 1720139207 |
|---|---|
| Doing Business As | FITNESS ADVANTAGE |
| Entity Type | Organization |
| Authorized Contact | KELVIN PRUENSTER President 909-396-0309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2020-08-22 |