Individual provider · Type 1 NPI

Gladys Carrillo

Rehabilitation Practitioner · Long Beach, CA

NPI number 1669089074 Active

Practice location

1501 Hughes Way Ste 150
Long Beach, CA 90810-1878

Call (310) 221-6336 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000X00013091 (CA)
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1669089074

Gladys Carrillo's National Provider Identifier is 1669089074, issued on Sep 29, 2020. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Long Beach, CA. The record was last updated on Mar 11, 2021.