Organization
DIRECT THERAPY
Active
Organization
DIRECT THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ALAN ARCHER M.S. RPT (DIRECTOR)
(909) 896-6094
Entity
Organization
Contact information
Practice address
689 W FOOTHILL BLVD STE B, CLAREMONT, CA 91711-3400
(909) 624-8244
(909) 624-8234
Mailing address
689 W FOOTHILL BLVD STE B, CLAREMONT, CA 91711-3400
(909) 624-8244
(909) 624-8234
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
25575
CA
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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