# OMNI REHAB & THERAPY CENTER

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

## Provider details

- **NPI number:** 1902935075
- **Authorized official:** FLORA MOHAMED SHAFIEE DPTS (OWNER)
- **Authorized official phone:** (909) 370-0611

## Contact information

- **Practice address:** 1642 E WASHINGTON ST, COLTON, CA 92324-4605
- **Practice address phone:** (909) 370-0611
- **Practice address fax:** (909) 370-0612
- **Mailing address:** 1642 E WASHINGTON ST, COLTON, CA 92324-4605
- **Mailing address phone:** (909) 370-0611
- **Mailing address fax:** (909) 370-0612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | PT17474 | CA | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 08/22/2020