Organization
AQUATIC PHYSICAL THERAPY OF PALM DESERT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT CORNISH PT (DIRECTOR)
(760) 568-9811
Entity
Organization
Contact information
Practice address
74824 LENNON PL, PALM DESERT, CA 92260-1901
(760) 568-9811
Mailing address
PO BOX 13888, PALM DESERT, CA 92255-3888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7254
CA
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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