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Organization
STEM CELL PHYSICAL THERAPY, P.C.
Active
Organization
STEM CELL PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE WATSON OTR/L (OWNER/CEO)
(909) 727-3020
Entity
Organization
Contact information
Practice address
7945 VINEYARD AVE STE D1, RANCHO CUCAMONGA, CA 91730-2314
(909) 727-3020
(909) 727-3001
Mailing address
17918 IOLITE LOOP, SAN BERNARDINO, CA 92407-0444
(909) 420-5752
(909) 727-3001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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