Up & Movin' Pediatric Physical Therapy Pc

NPI 1457659583 - Early Intervention Provider Agency - 252Y00000X

NPI Details
NPI 1457659583
Enumeration Date 03/15/2011
Last Updated 03/15/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JANE LOREI JANE
Position SECRETARY/TREASURER
Phone (951) 961-9152
Fax (951) 776-8028
Practice Location
6180 BROCKTON AVE
SUITE 202
RIVERSIDE CA, 92506-2228, US
Phone (951) 961-9152
Fax (951) 776-8028
Business Location
17835 LUNA CT
RIVERSIDE CA, 92504-9523, US
Phone (951) 961-9152
Fax (951) 776-8028
Toxanomy
Taxonomy Code 252Y00000X
License State California
License Number PJ3678C
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According to our database, Up & Movin' Pediatric Physical Therapy Pc NPI is 1457659583, taxonomy code is 252Y00000X and license number is PJ3678C, license state is located at California. Up & Movin' Pediatric Physical Therapy Pc physically located at 6180 Brockton Ave, Riverside CA, 92506-2228. NPI Number 1033115704 has the healthcare provider type.

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1457659583 NPI number is provided on an as is basis without warranty of any kind. 1457659583 is maintained by the National Plan & Provider Enumeration System. The contents of Up & Movin' Pediatric Physical Therapy Pc are for informational purposes only.