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Organization

NECESITO SPORTS THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IAN CEDRICK NECESITO LMT, ST, PT (CEO)
(909) 993-3132
Entity
Organization

Contact information

Practice address
870 N DIAMOND BAR BLVD, DIAMOND BAR, CA 91765-1039
(909) 993-3132
Mailing address
1261 N SYCAMORE AVE, RIALTO, CA 92376-3628
(909) 993-3132

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Enumeration date
11/21/2024
Last updated
02/18/2025
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