IndividualActive
Amy Bolenbaugh, CTRS
NPI 1699293910 · Recreation Therapist · Los Angeles, CA
Provider details
- NPI number
- 1699293910
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CTRS
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1720 E 120th Street
Los Angeles, CA 90059
Phone: (424) 338-2430
Approximate (ZIP-level) locationGet directions
Mailing address
1720 E 120th St
Los Angeles, CA 90059-3052
Registry dates
- Enumerated
- 2017-09-07
- Last updated
- 2017-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.