Individual provider · Type 1 NPI

Vinthia Wiryananda Wirantana

Rehabilitation Practitioner · Long Beach, CA

NPI number 1972848422 Active

Practice location

100 W Broadway, Suite 5010
Long Beach, CA 90802-4431

Call (562) 285-1330 Map

Mailing address

100 W Broadway Ste 5010
Long Beach, CA 90802-9409

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 1972848422

Vinthia Wiryananda Wirantana's National Provider Identifier is 1972848422, issued on Dec 10, 2012. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Long Beach, CA. The record was last updated on May 22, 2013.