| |
754 N Mountain Ave, Ontario, CA 91762-2544 | |
(909) 460-4155 | |
(909) 988-4414 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 754 N Mountain Ave, Ontario, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528194313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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16702 Valley View Ave, La Mirada, CA 90638-5824 Ph: (714) 367-5391 | 754 N Mountain Ave, Ontario, CA 91762-2544 Ph: (909) 460-4155 |