| |
28991 Old Town Front St, #104, Temecula, CA 92590-5803 | |
(951) 699-5282 | |
(951) 527-8572 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 28991 Old Town Front St, Temecula, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346376134 | 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 |
---|---|
16702 Valley View Ave, La Mirada, CA 90638-5824 Ph: (714) 367-5391 | 28991 Old Town Front St, #104, Temecula, CA 92590-5803 Ph: (951) 699-5282 |