Individual
ALTHEA MAE BONTILAO BAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
38121 25TH ST E APT I202, PALMDALE, CA 93550-4977
(213) 374-6836
Mailing address
495 S SPALDING DR, BEVERLY HILLS, CA 90212-4103
(213) 374-6836
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
304746
CA
Other
Enumeration date
12/20/2023
Last updated
07/18/2024
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