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Organization
OPTIMUM PHYSICAL THERAPY & WELLNESS
Active
Organization
OPTIMUM PHYSICAL THERAPY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSA MATOS (OFFICE MANAGER)
(909) 790-9010
Entity
Organization
Contact information
Practice address
34213 YUCAIPA BLVD, SUITE A, YUCAIPA, CA 92399-2494
(909) 797-9010
(909) 797-9046
Mailing address
PO BOX 11955, SAN BERNARDINO, CA 92423-1955
(909) 797-9010
(909) 797-9046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/19/2007
Last updated
08/22/2020
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