Healthcare Provider Details

I. General information

NPI: 1902442353
Provider Name (Legal Business Name): UFIT PHYSICAL THERAPY ENTERPRISE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2019
Last Update Date: 11/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 ROCK SPRINGS WAY
AZUSA CA
91702-6270
US

IV. Provider business mailing address

11 ROCK SPRINGS WAY
AZUSA CA
91702-6270
US

V. Phone/Fax

Practice location:
  • Phone: 909-570-7787
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. YURONG LU
Title or Position: OWNER/ DIRECTOR/ PHYSICAL THERAPIST
Credential: DPT, OCS
Phone: 909-570-7787