Doctor Name: | RICKY KWOK |
NPI Number: | 1649532284 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 38992 |
Business Practice Address: | 8655 Haven Ave Suit 200 Rancho Cucamonga, CA - 917304889 |
Business Phone Number: | 8006425031 |
Business Fax Number: | 9099897633 |
Mailing Address: | 102 N Lemon St, 112 ONTARIO |
State: | CA |
Postal Code: | 917644119 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/11/2012 |
NPI Last Update Date: | 06/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 38992 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |