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Organization
HAIDER SPINE CENTER MEDICAL GROUP INC
Active
Organization
HAIDER SPINE CENTER MEDICAL GROUP INC
Active
Other names
River Crest Physical Therapy, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
HOOMAN M JAVANMARDI DPT (DIRECTOR OF REHAB PHYS THERAPIST)
(951) 413-0209
Entity
Organization
Contact information
Practice address
6276 RIVER CREST DR, SUITE C, RIVERSIDE, CA 92507-0754
(951) 413-0209
Mailing address
6276 RIVER CREST DR, RIVERSIDE, CA 92507-0754
(951) 413-0209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT26950
CA
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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