Audra Ponci Bado in Culver Cite - Physical Therapist
Audra Ponci Bado - NPI 1164627436
Audra Ponci Bado is a Physical Therapist in Culver Cite, California. Audra Ponci Bado practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Audra Ponci Bado is 1164627436. The last update date is 2022-07-21.
Audra Ponci Bado's current location address is 12099 W. Washington Blvd, Culver Cite, California. You can contact this provider via phone number 2139358566 and fax number 3105350009. The mailing address for Audra Ponci Bado is 12099 W. Washington Blvd, Culver Cite, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Audra Ponci Bado |
|---|---|
| Address | 12099 W. Washington Blvd, Culver Cite, California |
| Phone Number | 2139358566 |
| Fax Number | 3105350009 |
| Sole Proprietor | N |
| Credentials | M.P.T. |
NPI Number Detail
| NPI Number | 1164627436 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 12099 W. Washington Blvd |
|---|---|
| City | Culver Cite |
| State | California (CA) |
| Post Code | 90066 |
| Phone Number | 2139358566 |
| Fax Number | 3105350009 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 26768 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the Audra Ponci Bado's 1164627436?
The Audra Ponci Bado's NPI (National Provider Identifier) Number is 1164627436. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Audra Ponci Bado's physical address?
The Audra Ponci Bado is physically located at 12099 W. Washington Blvd, in the city of Culver Cite, CA, with the postal code 90066.
What is Audra Ponci Bado's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Audra Ponci Bado is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
On what date was the 1164627436 assigned to Audra Ponci Bado?
The Audra Ponci Bado was issued its 1164627436 on 2007-06-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Audra Ponci Bado most recently updated or revised?
The information pertaining to Audra Ponci Bado, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.