Individual
MAGE TATEVOSYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
140 TOWN AND COUNTRY DR, DANVILLE, CA 94526-3893
(925) 743-8905
Mailing address
1241 HIBISCUS WAY, LIVERMORE, CA 94551-1313
(818) 445-4111
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
16223
CA
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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