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Johanna Portillo, BA
Rehabilitation Practitioner in Glendale, California
NPI 1568989192

Johanna Portillo is a Rehabilitation Practitioner based in Glendale, CA. Johanna Portillo practices in Glendale, CA and has the professional credentials of BA. The NPI Number for Johanna Portillo is 1568989192 and holds a License No. (California).

The current practice location address for Johanna Portillo is 920 E Broadway, Glendale, CA and can be reached out via phone at 818-242-9681.

Location: 920 E Broadway, Glendale, CA, 91205-1204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568989192
Provider Name
Johanna Portillo
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
920 E Broadway, Glendale, CA, 91205-1204
Phone Number
818-242-9681
Fax Number
Provider Enumeration Date
08/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
920 E Broadway
City
Glendale
State
California
Zip
91205-1204
Phone Number
818-242-9681
Fax Number
person
Provider Business Mailing Address Details
Address
920 E Broadway
City
Glendale
State
California
Zip
91205-1204
Phone Number
818-242-9681
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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