| NPI | 1871705905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HERRERA Administrator 909-383-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT12100) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-08-05 |