Hanalee Abitria, RPT

Individual provider Active NPI Physical Therapist · Fontana, CA

NPI 1992242010 · NPPES record last updated Jan 26, 2017

Key facts

NPI
1992242010
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
38731 (CA)
Practice address
16395 Rosa Linda LN
Fontana, CA 92336-5941
Phone
(909) 660-9314
NPI assigned
Jan 26, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
38731CAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 38731 CA Yes

Addresses

Primary practice location

16395 Rosa Linda LN
Fontana, CA 92336-5941

Mailing address

16395 Rosa Linda LN
Fontana, CA 92336-5941
Phone (909) 660-9314

Other providers in Fontana, CA

All providers in Fontana, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.