Organization
AXIAL PHYSICAL THERAPY INC
Active
Other names
bisi wilton-waddell
Organization subpart
No
Provider details
NPI number
Authorized official
BISI N WILTON-WADDELL RPT (CEO)
(310) 493-1356
Entity
Organization
Contact information
Practice address
7247 TAGGART PL, RANCHO CUCAMONGA, CA 91739-1868
(310) 493-1356
Mailing address
7247 TAGGART PL, RANCHO CUCAMONGA, CA 91739-1868
(310) 493-1356
(323) 395-5403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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