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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