Individual
DESIREE GAPULTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-2118
Mailing address
4650 W SUNSET BLVD # 56, LOS ANGELES, CA 90027-6062
(323) 361-2118
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6651
CA
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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