Rapha Physical Therapy | |
4959 Palo Verde St Ste 104a Montclair CA 91763-2345 | |
(909) 971-3092 | |
(909) 971-3261 |
Full Name | Rapha Physical Therapy |
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Speciality | Clinic/center - Multi-specialty |
Location | 4959 Palo Verde St Ste 104a, Montclair, California |
Authorized Official Name and Position | Joscelyn Washington (CEO/OWNER) |
Authorized Official Contact | 9099713092 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rapha Physical Therapy 4959 Palo Verde St Ste 104a Montclair CA 91763-2345 Ph: (909) 971-3092 | Rapha Physical Therapy 4959 Palo Verde St Ste 104a Montclair CA 91763-2345 Ph: (909) 971-3092 |
NPI Number | 1871906461 |
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Provider Enumeration Date | 06/11/2014 |
Last Update Date | 06/11/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871906461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 8111 (California) | Primary |
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