Prime Rehab Center Physical Therapy A Professional Corporation
Physical Therapist in Fontana, CA. Organization (NPI-2).
NPI number1669914396
StatusActive
Last updated in NPPESSep 10, 2020
Details
- NPI
- 1669914396
- Entity type
- Organization (NPI-2)
- Legal business name
- Prime Rehab Center Physical Therapy A Professional Corporation
- Organization subpart
- No
- Enumeration date
- Nov 11, 2016
- Certification date
- Sep 10, 2020
- Last updated
- Sep 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT35680 | CA | Yes |
Practice location
8545 Sierra AveFontana, CA 92335-3868
Phone 909-365-3557 · Fax 909-658-8987
Mailing address
8545 Sierra AveFontana, CA 92335-3868
Phone 909-365-3557 · Fax 909-658-8987
Other practice locations
527 N Palm Ave Ste 101
Ontario, CA 91762-3215
Ontario, CA 91762-3215
Phone 909-983-3557 · Fax 909-658-8985
Authorized official
Julia Cuevas Adame
Office Manager
9093653557
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