Organization
VALLEJOS AND PEREZ
Active
Organization
VALLEJOS AND PEREZ
Active
Other names
ENERGY PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE VALLEJOS (OWNER / OFFICE MANAGER)
(909) 937-7100
Entity
Organization
Contact information
Practice address
4295 JURUPA ST, SUITE 108, ONTARIO, CA 91761-1428
(909) 937-7100
Mailing address
5658 HUNT CLUB DR, FONTANA, CA 92336-1135
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT23546
CA
Other
Enumeration date
10/09/2006
Last updated
08/22/2020
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