Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Charles Bongcawel Mutia, PHYSICALTHERAPY

Individual provider Physical Therapist · NPI 1306045729

Mr. Charles Bongcawel Mutia, PHYSICALTHERAPY is a Physical Therapist in Glendale, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

421 W Windsor Rd Apt 5
Glendale, CA 91204-1945
Phone: (818) 551-9973
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence AT 6559 (CA)

Record details

NPI number1306045729
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPY
Sole proprietorYes
NPI enumeratedJuly 16, 2007
Last updated in NPPESJuly 16, 2007

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