Organization
TEAM THERAPY AND REHABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW ADEDAPO ADESIDA P.A. (OWNER)
(760) 951-4811
Entity
Organization
Contact information
Practice address
13024 HESPERIA RD, SUITE 101, VICTORVILLE, CA 92395-8302
(760) 951-4811
(760) 951-4833
Mailing address
13024 HESPERIA RD, SUITE 101, VICTORVILLE, CA 92395-8302
(760) 951-4811
(760) 951-4833
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
AC12285
CA
261QP2000X
Physical Therapy Clinic/Center
Primary
DC27742
CA
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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