RAPHA PHYSICAL THERAPY
Ambulatory Health at Palo Verde St, Montclair, CA

License number
California 8111
Category
Ambulatory Health
Type
Multi-Specialty
Owner
Name: JOSCELYN WASHINGTON
Title: CEO/OWNER
Phone: (909) 971-3092
Address
Address
4959 Palo Verde St STE 104A, Montclair, CA 91763
National Provider ID: 1871906461
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RAPHA PHYSICAL THERAPY, INC

Montclair, CA

Industry:
Health Practitioner's Office
Registration:
Nov 29, 2005
Addresses:
PO Box 403, Montclair, CA 91763 (Physical)
4959 Palo Verde St, Montclair, CA 91763
State ID:
C2777800
Business type:
Articles of Incorporation
President:
Joscelyn C. Washington (President)
Agent:
Joscelyn Washington,Riverside, CA 92509 (Physical)

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