Individual
AGNES BUSTAMANTE CONSOLACION
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT, CHT
Contact information
Practice address
1700 CALIFORNIA ST, SUITE 450, SAN FRANCISCO, CA 94109-4586
(415) 359-1444
(415) 447-3868
Mailing address
2844 SAN JOSE AVE, ALAMEDA, CA 94501-5461
(510) 769-7407
(415) 447-3868
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25333
CA
Other
Enumeration date
05/28/2006
Last updated
07/08/2007
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