Bantolo, Roselle

Bantolo, Roselle is an sole proprietor health care provider with primary practice located at 15120 Sapling Ln , Fontana CA 92336-5222. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Bantolo, Roselle can be contacted via phone (909) 829-7326.

Contact Information

Primary practice address
15120 Sapling Ln Fontana CA 92336-5222
Phone: (909) 829-7326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X AT8711 California

Profile Details

NPI number 1659764389
LBN Legal business name Bantolo, Roselle
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2015
Last updated Mar 4th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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