Organization
PETRICHOR PHYSICAL THERAPY A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LORENZ DELACRUZPORTUGAL (PHYSICAL THERAPIST)
(626) 483-8945
Entity
Organization
Contact information
Practice address
9681 BUSINESS CENTER DR STE C, RANCHO CUCAMONGA, CA 91730-4579
(626) 483-8945
Mailing address
9681 BUSINESS CENTER DR STE C, RANCHO CUCAMONGA, CA 91730-4579
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
08/08/2023
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