Organization
AXCEND PHYSICAL THERAPY
Active
Other names
Axcend Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
UMESH C. SHAH M.D. (AUTHORIZED OFFICIAL / PRESIDENT)
(909) 239-5692
Entity
Organization
Contact information
Practice address
19015 TOWN CENTER DR STE 102, APPLE VALLEY, CA 92308-8995
(760) 961-4240
(760) 961-4705
Mailing address
19015 TOWN CENTER DR STE 102, APPLE VALLEY, CA 92308-8995
(760) 961-4240
(760) 961-4705
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
06/23/2021
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