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NPI Code Detail

MEDICARE: STRENGTH IN MOTION INC.

MEDICARE: STRENGTH IN MOTION INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/CenterAT4819CA

General Provider Information

NPI Number : 1205209277
Entity Type Code : Organization
Provider Name (Legal Business Name) : STRENGTH IN MOTION INC.
Provider Business Mailing Address
First Line : 2521 POINTE COUPEE
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-4395
Country : US
Telephone Number : 909-437-4509
Fax Number :
Provider Business Practice Location Address
First Line : 3224 SANTA ANA ST
Second Line :
City : SOUTH GATE
State : CA
Zip : 90280-2306
Country : US
Telephone Number : 909-437-4509
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. JEFFREY AN LE
Credential :
Telephone Number : 909-437-4509
Provider Enumeration Date : 11/12/2015
Last Update Date : 01/19/2016

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