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Organization
PHYSIOFUSION REHAB SERVICES, LLC
Active
Organization
PHYSIOFUSION REHAB SERVICES, LLC
Active
Other names
PhysioFusion Rehab Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE WATSON OTR/L (DIRECTOR OF OPERATIONS)
(909) 420-5752
Entity
Organization
Contact information
Practice address
9200 MILLIKEN AVE APT 8214, RANCHO CUCAMONGA, CA 91730-8517
(909) 420-5752
Mailing address
9200 MILLIKEN AVE APT 8214, RANCHO CUCAMONGA, CA 91730-8517
(909) 420-5752
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
03/29/2021
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