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Mike Lenard Bundalian Handog, BS Physical Therapy

Physical Therapist in Palo Alto, CA. Individual provider (NPI-1).

NPI number1043385958
StatusActive
Last updated in NPPESJan 28, 2011

Details

NPI
1043385958
Entity type
Individual (NPI-1)
Name
Mr. Mike Lenard Bundalian Handog
Credential
BS Physical Therapy
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 24, 2006
Last updated
Jan 28, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist34562CAYes
225100000X Physical Therapist028757NY

Practice location

3801 Miranda Ave
Palo Alto, CA 94304

Phone 650-493-5000

Mailing address

3801 Miranda Ave
Palo Alto, CA 94304

Phone 650-493-5000

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