Organization
BALANCE AND MOTION PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD RALPH BAUTISTA MPT (PHYSICAL THERAPIST)
(562) 320-9242
Entity
Organization
Contact information
Practice address
11817 SOUTH STREET, CERRITOS, CA 90703-6825
(562) 403-1750
(562) 403-1743
Mailing address
11817 SOUTH STREET, CERRITOS, CA 90703-6825
(562) 403-1750
(562) 403-1743
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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