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Althea Mae Bontilao Bazar, PT

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

NPI number1154199057
StatusActive
Last updated in NPPESJul 18, 2024

Details

NPI
1154199057
Entity type
Individual (NPI-1)
Name
Althea Mae Bontilao Bazar
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
Dec 20, 2023
Certification date
Jul 18, 2024
Last updated
Jul 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist304746CAYes

Practice location

38121 25th St E Apt I202
Palmdale, CA 93550-4977

Phone 213-374-6836

Mailing address

495 S Spalding Dr
Beverly Hills, CA 90212-4103

Phone 213-374-6836

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