Individual provider · Type 1 NPI
Audra Ponci Bado, M.P.T.
Hand Physical Therapist · Los Angeles, CA
NPI number
1164627436
Active
Practice location
12099 W Washington Blvd Ste 300
Los Angeles, CA 90066-2621
Fax (310) 535-0009
Mailing address
12099 W. Washington Blvd, Ste 300
Culver Cite, CA 90066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 26768 (CA) |
| Hand Physical Therapist | 2251H1200X | None listed |
| Hand Physical Therapist Primary | 2251H1200X | 26768 (CA) |
Hand Physical Therapist: Definition to come...
3 other providers at this address
About NPI 1164627436
Audra Ponci Bado, M.P.T.'s National Provider Identifier is 1164627436, issued on Jun 18, 2007. The primary taxonomy on file is Hand Physical Therapist (2251H1200X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 21, 2022.