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Organization
KINETICS PHYSICAL THERAPY PROF CORP
Active
Organization
KINETICS PHYSICAL THERAPY PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA PELOQUIN (CREDENTIALING MANAGER)
(949) 215-5008
Entity
Organization
Contact information
Practice address
406 W 5TH ST, SAN DIMAS, CA 91773-2014
(909) 288-2670
(520) 372-2043
Mailing address
406 W 5TH ST, SAN DIMAS, CA 91773-2014
(909) 288-2670
(520) 372-2043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251H1300X
Human Factors Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
05/19/2026
Last updated
07/17/2026
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