Organization · NPI-2

Advantage Health And Fitness

Physical Therapist · Diamond Bar, CA

NPI number1720139207
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1720139207
Entity type
Organization (NPI-2)
Legal business name
Advantage Health And Fitness
Organization subpart
No
Enumeration date
Jan 13, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Other names

  • Fitness Advantage (Doing Business As)

Practice location

1200 S Diamond Bar Blvd
Suite#108
Diamond Bar, CA 91765-2298

Phone 909-396-0309 · Fax 909-396-0619

Mailing address

1249 S Diamond Bar Blvd # 112
Diamond Bar, CA 91765-4122

Phone 909-396-0309 · Fax 909-396-0619

Authorized official

Kelvin Pruenster
President
9093960309

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