Organization
FORM AND FUNCTION PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR FIELD (DIRECTOR)
(888) 619-2885
Entity
Organization
Contact information
Practice address
12067 ARROW RTE, RANCHO CUCAMONGA, CA 91739-9219
(888) 619-2885
(909) 784-1995
Mailing address
PO BOX 896, CHINO HILLS, CA 91709-0030
(888) 619-2885
(909) 784-1995
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
CA
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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