Organization
MICHELLE R. CONGLETON, INC.
Active
Other names
The Body Studio
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ORAPAN VECHSAMUTVAREE (OWNER)
(909) 591-4800
Entity
Organization
Contact information
Practice address
13751 ROSWELL AVE, SUITE G, CHINO, CA 91710-5464
(909) 591-4800
(909) 591-6100
Mailing address
13751 ROSWELL AVE, SUITE G, CHINO, CA 91710-5464
(909) 591-4800
(909) 591-6100
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2006
Last updated
10/29/2009
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