Triumphant Life
NPI #1982060695 in Apple Valley, California
Provider Information
- NPI Number
- 1982060695
- Entity Type
- Organization
- Organization Name
- Triumphant Life
- Primary Specialty
- Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
- Enumeration Date
- Jan 11, 2016
- Last Updated
- Jan 11, 2016
Practice Location
- Address
- 19923 BEAR VALLEY RD
- City
- Apple Valley
- State
- California
- ZIP Code
- 92308-5106
- Phone
- (760) 553-5307
Authorized Official
- Name
- DR. CHARLES FRANK PULLIAM, PHD
- Title
- CEO/PRESIDENT
- Phone
- (760) 646-9174
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
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