| NPI | 1760503221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EVAN SHUEY Physical Therapist Assistant 909-831-6867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-06-18 |