Organization
360 WELLNESS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURONG LU (PRESIDENT/PHYSICAL THERAPIST)
(909) 570-7787
Entity
Organization
Contact information
Practice address
501 S VINCENT AVE, WEST COVINA, CA 91790-6712
(909) 570-7787
Mailing address
11 ROCK SPRINGS WAY, AZUSA, CA 91702-6270
(909) 570-7787
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251C2600X
Cardiopulmonary Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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