Organization
PRISTINE REHABCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYANTHI IYENGAR (PROGRAM DIRECTOR)
(909) 396-8900
Entity
Organization
Contact information
Practice address
706 N DIAMOND BAR BLVD, SUITE B2, DIAMOND BAR, CA 91765-1059
(909) 396-8900
(909) 861-3423
Mailing address
706 N DIAMOND BAR BLVD, SUITE B2, DIAMOND BAR, CA 91765-1059
(909) 396-8900
(909) 861-3423
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1A19491
CA
Other
Enumeration date
04/25/2011
Last updated
08/09/2011
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