Individual
MADHAVI YARLAGADDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 SOUTH RICHMAN AVE., FULLERTON, CA 92832
(714) 992-4292
Mailing address
200 W SANTA ANA BLVD STE 100, SANTA ANA, CA 92701-4134
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3632
CA
Other
Enumeration date
09/29/2006
Last updated
07/12/2007
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