Individual
CHRISTINE NATHALIE BOUTEILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6318 KENISTON AVE, LOS ANGELES, CA 90043-3733
(310) 795-7652
Mailing address
6318 KENISTON AVE, LOS ANGELES, CA 90043-3733
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14246
CA
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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