| NPI | 1962665778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE W CRAWFORD President 909-945-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 5398) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC18771) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |