Individual
CHRISTINA MARIE BANUELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6160 TUTT BLVD STE 240, COLORADO SPRINGS, CO 80923-3502
(719) 596-0880
(719) 596-0899
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 487-1800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT29685
CA
225100000X
Physical Therapist
PTL.0015246
CO
Other
Enumeration date
11/13/2017
Last updated
04/22/2021
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