| NPI | 1750127767 |
|---|---|
| Doing Business As | PROACTIVE REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | GABRIELA LITT Provider Relations Supervisor 951-696-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |