Individual
KEVIN BROCK CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9405 FAIRWAY VIEW PL, RANCHO CUCAMONGA, CA 91730-0932
(909) 481-7345
Mailing address
9405 FAIRWAY VIEW PL, RANCHO CUCAMONGA, CA 91730-0932
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
305118
CA
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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