Individual provider · Type 1 NPI

Kristin J.a.e Basulto

Rehabilitation Practitioner · Pasadena, CA

NPI number 1790359560 Active

Practice location

940 Avenue 64
Pasadena, CA 91105-2711

Call (323) 254-2274 Map

Mailing address

815 Colorado Blvd Ste 300
Los Angeles, CA 90041-1744

Specialties and licenses

TaxonomyCodeLicense
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 1790359560

Kristin J.a.e Basulto's National Provider Identifier is 1790359560, issued on May 17, 2021. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Pasadena, CA. The record was last updated on May 17, 2021.