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MRS. AMY CARYN BOLENBAUGH CTRS NPI 1699293910


NPI Information

NPI: 1699293910
Provider Name: MRS. AMY CARYN BOLENBAUGH, CTRS
Classification: Recreation Therapist - 225800000X
Entity Type: Individual
Address:
1720 E 120TH STREET
LOS ANGELES, CA
ZIP 90059
Phone: (424) 338-2430
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MRS. Amy Caryn Bolenbaugh, CTRS is a recreation therapist in Los Angeles, CA. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. MRS. Amy Caryn Bolenbaugh, CTRS NPI is 1699293910. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1720 E 120TH STREET
LOS ANGELES, CA
ZIP 90059
Phone: (424) 338-2430

The enumeration date for this NPI number is 9/7/2017 and was last updated on 9/7/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225800000XRecreation TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.