| NPI | 1811260987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY STEVENS President/Physical Therapist 909-772-2862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA 35363) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2014-06-23 |