Individual provider · Type 1 NPI

Amy Caryn Bolenbaugh, CTRS

Recreation Therapist · Los Angeles, CA

NPI number 1699293910 Active

Practice location

1720 E 120th Street
Los Angeles, CA 90059

Mailing address

1720 E 120th St
Los Angeles, CA 90059-3052

Specialties and licenses

TaxonomyCodeLicense
Recreation Therapist Primary 225800000XNone listed

Recreation Therapist: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

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About NPI 1699293910

Amy Caryn Bolenbaugh, CTRS's National Provider Identifier is 1699293910, issued on Sep 7, 2017. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 7, 2017.