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Individual

CHRISTINA MARGARITA VILLASENOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
1300 W 7TH ST, SAN PEDRO, CA 90732-3505
(310) 514-5377
Mailing address
2818 OLIVE LN, SANTA ANA, CA 92706-1132
(714) 866-9157

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21656
CA
225X00000X
Occupational Therapist
443146
CA

Other

Enumeration date
10/20/2020
Last updated
10/20/2020
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