# WONDERLAB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497203566
- **Authorized official:** RHONDA NICHELLE NELSON PT, PPT, PCS (PRESIDENT)
- **Authorized official phone:** (909) 735-7654

## Contact information

- **Practice address:** 10431 COMMERCE ST STE A, REDLANDS, CA 92374-0110
- **Practice address phone:** (909) 735-7654
- **Practice address fax:** (909) 796-2122
- **Mailing address:** 10431 COMMERCE ST STE A, REDLANDS, CA 92374-0110
- **Mailing address phone:** (909) 735-7654
- **Mailing address fax:** (909) 342-6411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | PT24657 | CA | Yes |

## Other

- **Enumeration date:** 09/16/2016
- **Last updated:** 12/20/2021