Organization
ADVANCED WELLNESS PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEANNE CHAVEZ P.T. (OWNER/CEO)
(909) 553-3434
Entity
Organization
Contact information
Practice address
34799 FAIRPORT WAY, YUCAIPA, CA 92399-6819
(909) 553-3434
Mailing address
34799 FAIRPORT WAY, YUCAIPA, CA 92399-6819
(909) 262-0928
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT15801
CA
Other
Enumeration date
03/28/2014
Last updated
03/28/2020
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