Individual
MRS. ELIA CHARLAYNE BONNER-WARSZAWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
28208 REY DE COPAS LN, MALIBU, CA 90265-4461
(310) 801-2614
Mailing address
28208 REY DE COPAS LN, MALIBU, CA 90265-4461
(310) 801-2614
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT28523
CA
2251P0200X
Pediatric Physical Therapist
Primary
PT28523
CA
Other
Enumeration date
04/27/2024
Last updated
04/27/2024
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