Individual
MICHELLE ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1180 N BRADFORD AVE, PLACENTIA, CA 92870-3301
(714) 996-9292
Mailing address
3023 LEEWARD AVE APT 7, LOS ANGELES, CA 90005-4407
(213) 216-0683
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5663
CA
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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