CHANNELL NICOLE ENRIQUEZ PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1881360782- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 1725 BLOSSOM CREST ST, BAKERSFIELD, CA, 933149285
- Phone
- (805) 814-4392
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: CA #48391