Organization
WALNUT PHYSICAL THERAPY AND PERFORMANCE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLY CHAN KOH PT (OWNER)
(909) 468-0438
Entity
Organization
Contact information
Practice address
138 PIERRE RD, WALNUT, CA 91789-2531
(909) 468-0438
(909) 992-3303
Mailing address
138 PIERRE RD, WALNUT, CA 91789-2531
(909) 468-0438
(909) 992-3303
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT42770
CA
Other
Enumeration date
05/17/2018
Last updated
05/16/2021
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