Individual
SEPANTA YOUSEFIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
401 N BROOKHURST ST STE 100, ANAHEIM, CA 92801-5614
(714) 563-2318
Mailing address
22 ODYSSEY STE 165, IRVINE, CA 92618-3194
(949) 727-2192
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
23010
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S81813414
DRIVER'S LICENSE
MA
Enumeration date
11/22/2021
Last updated
11/22/2021
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