123 Pediatric Therapy, a Physical Therapy P.c.
NPI #1275085235 in West Covina, California
Provider Information
- NPI Number
- 1275085235
- Entity Type
- Organization
- Organization Name
- 123 Pediatric Therapy, a Physical Therapy P.c.
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Oct 25, 2016
- Last Updated
- Jan 8, 2019
Practice Location
- Address
- 855 N LARK ELLEN AVE
- Address 2
- SUITE L
- City
- West Covina
- State
- California
- ZIP Code
- 91791-1099
- Phone
- (909) 964-2186
Authorized Official
- Name
- KAREN APRIL HWANG, MSPT
- Title
- DIRECTOR
- Phone
- (909) 964-2186
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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