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Organization

ULTIMATE PHYSICAL THERAPY AND REHABILITATION CLINIC INC

Active
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Organization

ULTIMATE PHYSICAL THERAPY AND REHABILITATION CLINIC INC

Active
Other names
Ultimate Rehabilitation Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
NIEVES BERNARDINO DACLISON PT (PRESIDENT)
(626) 307-1718
Entity
Organization

Contact information

Practice address
2630 SAN GABRIEL BLVD, SUITE 104, ROSEMEAD, CA 91770-5204
(626) 307-1718
Mailing address
2630 SAN GABRIEL BLVD, SUITE 104, ROSEMEAD, CA 91770-5204
(626) 307-1718

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—

Other

Enumeration date
06/29/2007
Last updated
04/20/2008
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