Most Relevant Information
Provider Data
NPI Number: | 1003044298 |
Provider Name: | LEDA BLUITT |
Entity Type: | Individual |
Taxonomy Code: | 225400000X |
Specialty: | Rehabilitation Practitioner |
License Number: |
Most Important Dates
Enumeration Date: | 06/25/2009 |
Last Updated: | 04/06/2021 |
Provider Practice Location
1517 W GARVEY AVE N
WEST COVINA
CA
917902138
Practice Location Phone/Fax
Phone: | 6269626061 |
Fax: |
Provider Mailing Location
521 W DUARTE RD APT F
MONROVIA
CA
910164492
Provider Mailing Phone/Fax
Phone: | |
Fax: |