AGNES DUMAUA BANEZ
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1679400501- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2340 HONOLULU AVE, MONTROSE, CA, 910201822
- Phone
- (818) 952-2294
Specialties & Taxonomies
Physical Therapist
Primary License: CA #PT27720
Physical Medicine & Rehabilitation
License: CA #27720