| NPI | 1790496727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND XAVIER QUEZADA Doctor Of Physical Therapy/ Owner 909-575-9256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2023-07-11 |