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Individual

AUDRA PONCI BADO

Active
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Individual

AUDRA PONCI BADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
26768
CA
2251H1200X
Hand Physical Therapist
Primary
26768
CA
2251H1200X
Hand Physical Therapist

Other

Enumeration date
06/18/2007
Last updated
07/21/2022
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