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Organization

121 REHAB PHYSICAL THERAPY CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARMANDO KIM O.T. (PRESIDENT)
(909) 620-8443
Entity
Organization

Contact information

Practice address
1940 N. ORANGE GROVE AVENUE SUITE A, POMONA, CA 91767
(909) 620-8443
Mailing address
1940 N ORANGE GROVE AVE STE A, POMONA, CA 91767-3002

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5319
CA

Other

Enumeration date
07/01/2006
Last updated
08/22/2020
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