Organization
JORDAN RIVER PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FUAD AL-DABBAK (MANAGER)
(909) 528-8288
Entity
Organization
Contact information
Practice address
34247 YUCAIPA BLVD STE E, YUCAIPA, CA 92399-6118
(909) 657-2232
Mailing address
PO BOX 386, YUCAIPA, CA 92399-0386
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CA680529
—
CA
05
—
CA687754
—
CA
Enumeration date
07/22/2025
Last updated
07/31/2025
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