OrganizationActive
121 Rehab Physical Therapy Corp
NPI 1962431049 · Occupational Therapist · Pomona, CA
Provider details
- NPI number
- 1962431049
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Armando Kim, President
- License
- 5319 (CA)
Practice location
1940 N. Orange Grove Avenue Suite a
Pomona, CA 91767
Phone: (909) 620-8443
Mailing address
1940 N Orange Grove Ave Ste a
Pomona, CA 91767-3002
Registry dates
- Enumerated
- 2006-07-01
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.