Provider First Line Business Practice Location Address:
9063 E. MISSION DR.
Provider Second Line Business Practice Location Address:
MAIN OFFICE BUILDING - (THERAPY ROOM #1)
Provider Business Practice Location Address City Name:
ROSEMEAD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91770-4411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-279-2530
Provider Business Practice Location Address Fax Number:
626-582-8150
Provider Enumeration Date:
04/11/2019