OrganizationActive
360 Wellness Physical Therapy
NPI 1174095863 · Physical Therapist · West Covina, CA
Provider details
- NPI number
- 1174095863
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Yurong Lu, President/Physical Therapist
Mailing address
11 Rock Springs Way
Azusa, CA 91702-6270
Registry dates
- Enumerated
- 2018-12-19
- Last updated
- 2018-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.