Organization
EDGE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID EVAN SHUEY PTA (PHYSICAL THERAPIST ASSISTANT)
(909) 831-6867
Entity
Organization
Contact information
Practice address
1695 S SAN JACINTO ST, STE C, SAN JACINTO, CA 92583
(951) 665-1510
(951) 665-1515
Mailing address
14 DOLORES CT, REDLANDS, CA 92374-5567
(951) 665-1510
(951) 665-1515
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
06/18/2008
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