Doctor Name: | MR. MIKE LENARD BUNDALIAN HANDOG |
NPI Number: | 1043385958 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BS PHYSICAL THERAPY |
License Number: | 028757 |
Business Practice Address: | 3801 Miranda Ave Palo Alto, CA - 94304 |
Business Phone Number: | 6504935000 |
Business Fax Number: | |
Mailing Address: | 3801 Miranda Ave, PALO ALTO |
State: | CA |
Postal Code: | 94304 |
Phone Number: | 6504935000 |
Fax Number: | |
NPI Enumeration Date: | 11/24/2006 |
NPI Last Update Date: | 01/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 028757 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |