Prostar Sports Training and Rehabilitation
NPI #1184898215 in Diamond Bar, California
Provider Information
- NPI Number
- 1184898215
- Entity Type
- Organization
- Organization Name
- Prostar Sports Training and Rehabilitation
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Apr 18, 2008
- Last Updated
- Apr 18, 2008
Practice Location
- Address
- 1370 VALLEY VISTA DR STE 145
- City
- Diamond Bar
- State
- California
- ZIP Code
- 91765-3950
- Phone
- (909) 861-3511
Authorized Official
- Name
- GARY M SOUZA, DPT
- Title
- OWNER/PRESIDENT
- Phone
- (909) 861-3511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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