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Organization
WEST COAST SPINE RESTORATION CENTER, INC
Active
Organization
WEST COAST SPINE RESTORATION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY KISHINO OT (DIRECTOR)
(951) 653-4480
Entity
Organization
Contact information
Practice address
6177 RIVER CREST DR., #A, RIVERSIDE, CA 92507
(951) 653-4480
(951) 653-5051
Mailing address
6177 RIVER CREST DR., #A, RIVERSIDE, CA 92507
(951) 653-4480
(951) 653-5051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
CA
225100000X
Physical Therapist
Primary
—
—
2251H1200X
Hand Physical Therapist
—
CA
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/20/2006
Last updated
07/21/2022
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