Individual
AMY BI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9405 FAIRWAY VIEW PL, RANCHO CUCAMONGA, CA 91730-0932
(909) 987-3037
Mailing address
434 CASEY CT, COLTON, CA 92324-1563
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51182
CA
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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