Individual
CLAUDIA BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
17741 MANCHESTER AVE, IRVINE, CA 92614-6649
(949) 689-5396
Mailing address
17741 MANCHESTER AVE, IRVINE, CA 92614-6649
(949) 689-5396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15695
CA
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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