Marie Claudia Carrillo-Bertolucci, PTA
Physical Therapy Assistant in Fremont, CA. Individual provider (NPI-1).
NPI number1174299986
StatusActive
Last updated in NPPESJun 8, 2026
Details
- NPI
- 1174299986
- Entity type
- Individual (NPI-1)
- Name
- Marie Claudia Carrillo-Bertolucci
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2021
- Certification date
- Jun 8, 2026
- Last updated
- Jun 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 51399 | CA | Yes |
Practice location
39270 Paseo Padre Pkwy # 207Fremont, CA 94538-1616
Phone 323-819-5223
Mailing address
1244 Lake StMillbrae, CA 94030-2926
Phone 323-819-5223
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All 30 Physical Therapy Assistant providers in Fremont · All 5,684 providers in Fremont
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