Organization
FORGED PHYSICAL THERAPY AND PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACH LEAL PT, DPT, CSCS (OWNER)
(909) 341-1050
Entity
Organization
Contact information
Practice address
5160 RICHTON ST STE D, MONTCLAIR, CA 91763-1315
(909) 367-1257
Mailing address
5160 RICHTON ST STE D, MONTCLAIR, CA 91763-1315
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
12/13/2023
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