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Organization
POWER CENTER PHYSICAL THERAPY INCORPORATED
Active
Organization
POWER CENTER PHYSICAL THERAPY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE B SARDILLO PT (PRESIDENT)
(760) 245-8828
Entity
Organization
Contact information
Practice address
17270 BEAR VALLEY RD, STE 105, VICTORVILLE, CA 92395-7751
(760) 245-8828
(855) 891-9996
Mailing address
17270 BEAR VALLEY RD, STE 105, VICTORVILLE, CA 92395-7751
(760) 245-8828
(855) 891-9996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5557690001
DMERC
CA
01
—
DE2261
RAILROAD MEDICARE
CA
Enumeration date
10/19/2006
Last updated
08/14/2013
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