Sports Industrial Physical Therapy

NPI #1629083480 in Mira Loma, California

Provider Information

NPI Number: 1629083480
Entity Type: Organization
Organization Name: Sports Industrial Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Jul 30, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 10427 SAN SEVAINE WAY
Address 2: STE K
City: Mira Loma
State: California
ZIP Code: 91752-1199
Phone: (951) 360-8333

Authorized Official

Name: MR. LAWRENCE WILLIAM CARTER, P.T.
Title: OWNER
Phone: (951) 360-8333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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