Organization
EDGE PHYSICAL THERAPY INC
Active
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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