Individual
MARIE CLAUDIA CARRILLO-BERTOLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
39270 PASEO PADRE PKWY # 207, FREMONT, CA 94538-1616
(323) 819-5223
Mailing address
1244 LAKE ST, MILLBRAE, CA 94030-2926
(323) 819-5223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51399
CA
Other
Enumeration date
08/20/2021
Last updated
06/08/2026
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