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Organization
VALLEY PHYSICAL THERAPY
Active
Organization
VALLEY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARDO CARLITO MPT (OWNER)
(909) 885-7200
Entity
Organization
Contact information
Practice address
688 N ARROWHEAD AVE STE 101B, SAN BERNARDINO, CA 92401-1144
(909) 885-7200
(909) 885-7272
Mailing address
688 N ARROWHEAD AVE STE 101B, SAN BERNARDINO, CA 92401-1144
(909) 885-7200
(909) 885-7272
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 21672
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 21672
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
09/20/2010
Last updated
09/20/2010
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