Organization
SAN BERNARDINO COUNTY PUBLIC HEALTH
Active
Organization
SAN BERNARDINO COUNTY PUBLIC HEALTH
Active
Other names
Etiwanda MTU
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXWELL OHIKHUARE M.D. (PUBLIC HEALTH OFFICER)
(909) 387-6219
Entity
Organization
Contact information
Practice address
12860 BANYAN ST, ETIWANDA, CA 91739-9466
(909) 463-3010
Mailing address
451 E VANDERBILT WAY, SAN BERNARDINO, CA 92408-3641
(909) 387-6218
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
03/30/2015
Last updated
11/20/2024
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