Organization
XCEL ORTHOPEDIC & SPORTS PHYSICAL THERAPY
Active
Organization
XCEL ORTHOPEDIC & SPORTS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAIR ALAN BAKER M.P.T. (OWNER)
(951) 769-8555
Entity
Organization
Contact information
Practice address
851 E 6TH ST, SUITE A-4, BEAUMONT, CA 92223-2340
(951) 769-8555
(951) 769-1220
Mailing address
851 E 6TH ST, SUITE A-4, BEAUMONT, CA 92223-2340
(951) 769-8555
(951) 769-1220
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 26569
CA
261QP2000X
Physical Therapy Clinic/Center
PT 27975
CA
Other
Enumeration date
10/02/2006
Last updated
06/25/2008
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