Organization
COFORDO, INC.
Active
Other names
ORCHARD PLAZA THERAPY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA MOORE P.T. ASSISTANT (ADMINISTRATOR)
(909) 941-7177
Entity
Organization
Contact information
Practice address
9116 FOOTHILL BLVD, SUITE 102, RANCHO CUCAMONGA, CA 91730-6564
(909) 941-7177
(909) 941-7179
Mailing address
9116 FOOTHILL BLVD, SUITE 102, RANCHO CUCAMONGA, CA 91730-6564
(909) 941-7177
(909) 941-7179
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7811
CA
Other
Enumeration date
06/25/2006
Last updated
08/22/2020
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