Individual
KELECHI MICHELLE EGBUZIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5555 N FRESNO ST, FRESNO, CA 93710-6006
(559) 430-8211
Mailing address
6477 N MARIPOSA ST, FRESNO, CA 93710-3817
(559) 259-9305
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
CA
Other
Enumeration date
04/08/2019
Last updated
02/08/2020
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