Individual
JUSTIN A PARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
Mailing address
6337 HALSTEAD AVE, RANCHO CUCAMONGA, CA 91737-3750
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
10318
CA
225X00000X
Occupational Therapist
Primary
24461
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2021
Last updated
05/13/2024
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