Organization
OMNI REHAB & THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA MOHAMED SHAFIEE DPTS (OWNER)
(909) 370-0611
Entity
Organization
Contact information
Practice address
1642 E WASHINGTON ST, COLTON, CA 92324-4605
(909) 370-0611
(909) 370-0612
Mailing address
1642 E WASHINGTON ST, COLTON, CA 92324-4605
(909) 370-0611
(909) 370-0612
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT17474
CA
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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