Organization
RAPHA PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSCELYN WASHINGTON (CEO/OWNER)
(909) 971-3092
Entity
Organization
Contact information
Practice address
4959 PALO VERDE ST STE 104A, MONTCLAIR, CA 91763-2345
(909) 971-3092
(909) 971-3261
Mailing address
4959 PALO VERDE ST STE 104A, MONTCLAIR, CA 91763-2345
(909) 971-3092
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
8111
CA
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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