Individual
CHAVONNE WHALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W CENTRAL AVE STE B, BREA, CA 92821-3036
(714) 529-5022
Mailing address
11432 SOUTH ST # 83, CERRITOS, CA 90703-6611
(562) 261-3227
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA7057
CA
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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