Individual
BIANCA GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1708 MERIDIAN AVE APT A, SOUTH PASADENA, CA 91030-5505
(323) 513-7232
Mailing address
1708 MERIDIAN AVE APT A, SOUTH PASADENA, CA 91030-5505
(323) 513-7232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
36830
CA
2251P0200X
Pediatric Physical Therapist
36830
CA
2251X0800X
Orthopedic Physical Therapist
36830
CA
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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