Individual
BONNIE MONTALI HAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
11665 AVENA PL, SUITE 106, SAN DIEGO, CA 92128-2421
(858) 673-5437
Mailing address
9070 ROTHERHAM AVE, SAN DIEGO, CA 92129-3125
(858) 538-6555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT14926
CA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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