Organization
123 PEDIATRIC THERAPY, A PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN APRIL HWANG MSPT (DIRECTOR)
(909) 964-2186
Entity
Organization
Contact information
Practice address
855 N LARK ELLEN AVE, SUITE L, WEST COVINA, CA 91791-1099
(909) 964-2186
Mailing address
926 W 12TH ST, POMONA, CA 91766-2835
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2016
Last updated
01/08/2019
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