Provider Demographics
NPI:1558653931
Name:BALBAS, CATRICIA REMEDIOS ARRIOLA (RPT)
Entity Type:Individual
Prefix:MISS
First Name:CATRICIA REMEDIOS
Middle Name:ARRIOLA
Last Name:BALBAS
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 S OXFORD AVE APT 205
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-3861
Mailing Address - Country:US
Mailing Address - Phone:213-300-7795
Mailing Address - Fax:
Practice Address - Street 1:355 S OXFORD AVE APT 205
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-3861
Practice Address - Country:US
Practice Address - Phone:213-300-7795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070018164225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist