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Organization

IEPTSIR, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES RICHARD FELDER MS,PT,SCS,ATC,CSCS (OWNER)
(951) 273-7742
Entity
Organization

Contact information

Practice address
1303 W 6TH ST, SUITE 104, CORONA, CA 92882-3196
(951) 273-7742
(951) 273-7747
Mailing address
1303 W 6TH ST, SUITE 104, CORONA, CA 92882-3196
(951) 273-7742
(951) 273-7747

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
624596
CA

Other

Enumeration date
10/05/2006
Last updated
08/22/2020
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