Individual
BONNIE IP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1335 N LA BREA AVE STE 3, LOS ANGELES, CA 90028-7565
(818) 588-3880
Mailing address
PO BOX 846915, LOS ANGELES, CA 90084-6915
(310) 246-1050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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