Doctor Name: | MRS. CHERIS BULOS |
NPI Number: | 1336203157 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.P.T. |
License Number: | PT 25641 |
Business Practice Address: | 4900 Overland Ave Unit 315 Culver City, CA - 902304289 |
Business Phone Number: | 3107175238 |
Business Fax Number: | 3102800305 |
Mailing Address: | 4900 Overland Ave, Unit 315 CULVER CITY |
State: | CA |
Postal Code: | 902304289 |
Phone Number: | 3107175238 |
Fax Number: | 3102800305 |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 25641 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |