| NPI | 1740922905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY PALACIOS Operating Manager/ CEO 909-802-5824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 2251G0304X Physical Therapist, Geriatrics | |
| 225200000X Physical Therapy Assistant | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-11 |