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Organization
CORONA PHYSICAL THERAPY, INC.
Active
Organization
CORONA PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM GRANADO P.T. (PRESIDENT/CEO)
(951) 737-1965
Entity
Organization
Contact information
Practice address
1113 S MAIN ST, SUITE A, CORONA, CA 92882-4412
(951) 737-1965
Mailing address
1113 S MAIN ST, SUITE A, CORONA, CA 92882-4412
(951) 737-1965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT13283
CA
Other
Enumeration date
09/26/2005
Last updated
06/20/2013
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