Individual
CAROLYN K VO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14532 CENTRAL AVE, CHINO, CA 91710-9503
(909) 597-0504
Mailing address
500 W CENTRAL AVE STE B, BREA, CA 92821-3036
(714) 529-5022
(714) 529-5016
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
407713
CA
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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