Individual
MR. BONHOEFFER ESTRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
410 EASTWOOD AVE, MANTECA, CA 95336-3167
(209) 239-1222
Mailing address
1120 LIVORNO CT, MANTECA, CA 95337-8441
(317) 457-5306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
33740
CA
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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