Audra Ponci Bado M.P.T.

NPI 1164627436 - Physical Therapist - 225100000X

NPI Details
NPI 1164627436
Gender Female
Enumeration Date 06/18/2007
Last Updated 09/22/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
615 N NASH ST
STE # 306
EL SEGUNDO CA, 90245-2825, US
Phone (310) 535-0008
Fax
Business Location
615N NASH ST 306
EL SEGUNDO CA, 90245-2850, US
Phone (310) 535-0008
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number 26768
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According to our database, Audra Ponci Bado M.P.T. NPI is 1164627436, taxonomy code is 225100000X and license number is 26768, license state is located at California. Audra Ponci Bado M.P.T. physically located at 615 N Nash St, El Segundo CA, 90245-2825. NPI Number Audra Ponci Bado M.P.T. has the Individual type.

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1164627436 NPI number is provided on an as is basis without warranty of any kind. 1164627436 is maintained by the National Plan & Provider Enumeration System. The contents of Audra Ponci Bado M.P.T. are for informational purposes only.