# ADVANTAGE REHAB & ORTHOPEDIC PHYSICAL THERAPY, INC.

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

## Provider details

- **NPI number:** 1518119130
- **Authorized official:** MRS. KATHY A SPENCER MPT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (909) 396-0309

## Contact information

- **Practice address:** 1200 S. DIAMOND BAR BLVD., \# 108, DIAMOND BAR, CA 91765-4122
- **Practice address phone:** (909) 396-0309
- **Practice address fax:** (909) 396-0619
- **Mailing address:** 1249 S. DIAMOND BAR BLVD., \# 112, DIAMOND BAR, CA 91765-4122
- **Mailing address phone:** (909) 396-0309
- **Mailing address fax:** (909) 396-0619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 19387 | CA | Yes |

## Other

- **Enumeration date:** 10/14/2008
- **Last updated:** 10/21/2015