Individual
GWENDALYNE MARIE HENSON GUBATAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3031 BEVERLY BLVD STE B, LOS ANGELES, CA 90057-1013
(323) 644-9380
Mailing address
316 N BURLINGTON AVE, LOS ANGELES, CA 90026-4941
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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