Organization
WONDERLAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA NICHELLE NELSON PT, PPT, PCS (PRESIDENT)
(909) 735-7654
Entity
Organization
Contact information
Practice address
10431 COMMERCE ST STE A, REDLANDS, CA 92374-0110
(909) 735-7654
(909) 796-2122
Mailing address
10431 COMMERCE ST STE A, REDLANDS, CA 92374-0110
(909) 735-7654
(909) 342-6411
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
PT24657
CA
Other
Enumeration date
09/16/2016
Last updated
12/20/2021
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