Elizabeth Marie Maldonado
Rehabilitation Practitioner in Rialto, CA. Individual provider (NPI-1).
NPI number1982124897
StatusActive
Last updated in NPPESMay 9, 2025
Details
- NPI
- 1982124897
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Marie Maldonado
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2017
- Certification date
- May 9, 2025
- Last updated
- May 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | CA | |
| 172V00000X | Community Health Worker | – | – |
Practice location
850 E Foothill BlvdRialto, CA 92376-5230
Phone 909-361-8797
Mailing address
850 E Foothill BlvdRialto, CA 92376-5230
Phone 909-873-4409 · Fax 094-214-6779
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All 59 Rehabilitation Practitioner providers in Rialto · All 1,367 providers in Rialto
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