Individual
AUDRA PONCI BADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
12099 W WASHINGTON BLVD STE 300, LOS ANGELES, CA 90066-2621
(213) 935-8566
(310) 535-0009
Mailing address
12099 W. WASHINGTON BLVD, STE 300, CULVER CITE, CA 90066
(213) 935-8566
(310) 535-0009
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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