Most Relevant Information
Provider Data
| NPI Number: | 1003262528 |
| Provider Name: | ASA CEDRIC MILLS P.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 39290 |
Most Important Dates
| Enumeration Date: | 05/13/2016 |
| Last Updated: | 05/13/2016 |
Provider Practice Location
31309 TEMECULA PKWY
SUITE 101
TEMECULA
CA
925926826
Practice Location Phone/Fax
| Phone: | 9513025213 |
| Fax: |
Provider Mailing Location
2061 WILLOW GLEN RD
FALLBROOK
CA
920289713
Provider Mailing Phone/Fax
| Phone: | 7868975401 |
| Fax: |