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MRS. PATHMA NEELIKA BULATHGAMA
>> Rehabilitation Practitioner >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1376896050
Individual Registrant:MRS. PATHMA NEELIKA BULATHGAMA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
18432 GRIDLEY RD ARTESIA, CA 90701-5404 US
Tel: 562-860-2479 Fax: 562-860-7109
Tel: 562-860-2479 Fax: 562-860-7109
Contact information for business:
14518 CABELL AVE BELLFLOWER, CA 90706-3205 US
Tel: 562-860-2479 Fax: 562-860-7109
Tel: 562-860-2479 Fax: 562-860-7109
Registration Information:
NPI: 1376896050
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225400000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Rehabilitation Practitioner |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
