Individual provider · NPI-1

Mary Bohorquez

Rehabilitation Practitioner · Torrance, CA

NPI number1477095693
StatusActive
Last updated in NPPESNov 7, 2016

Details

NPI
1477095693
Entity type
Individual (NPI-1)
Name
Mary Bohorquez
Sex
Female
Sole proprietor
No
Enumeration date
Nov 7, 2016
Last updated
Nov 7, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes

Practice location

916 Torrance Blvd
Torrance, CA 90502-1762

Phone 818-445-1055

Mailing address

916 Torrance Blvd
Torrance, CA 90502-1762

Phone 818-445-1055

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