CHARLES BONGCAWEL MUTIA

GLENDALE, CA
NPI1306045729
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  AT 6559)
Enumeration Date2007-07-16
Last Update Date2007-07-16
Business Address
MR. CHARLES BONGCAWEL MUTIA PHYSICAL THERAPY
421 W WINDSOR RD APT 5
GLENDALE, CA 91204-1945
Phone number: 818-551-9973
Mailing Address
MR. CHARLES BONGCAWEL MUTIA PHYSICAL THERAPY
421 W WINDSOR RD APT 5
GLENDALE, CA 91204-1945
Phone number: 818-551-9973
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