Individual
SUL CHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3401 CEDAR AVE, LONG BEACH, CA 90807-4422
(562) 426-4461
Mailing address
125 N TREVISO DR, ANAHEIM, CA 92801-8014
(714) 880-5503
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3909
CA
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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