Loretta Bruinsma, LPT
NPI #1255719142 in Azusa, California
Provider Information
- NPI Number
- 1255719142
- Entity Type
- Individual
- Name
- Loretta Bruinsma, LPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Psychiatric Technician
- Credential
- LPT
- Enumeration Date
- May 11, 2015
- Last Updated
- May 17, 2015
Practice Location
- Address
- 23701 E EAST FORK RD
- City
- Azusa
- State
- California
- ZIP Code
- 91702-1477
- Phone
- (626) 250-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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