Organization
INDEPENDENT HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON DORN MPT (OWNER/THERAPIST)
(909) 762-4058
Entity
Organization
Contact information
Practice address
3916 CHELSEA DR, LA VERNE, CA 91750-2608
(909) 762-4058
(949) 215-4281
Mailing address
3916 CHELSEA DR, LA VERNE, CA 91750-2608
(909) 762-4058
(949) 215-4281
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
12/02/2024
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