Individual
KELLY YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
653 CAMINO DE LOS MARES STE 110, SAN CLEMENTE, CA 92673
(949) 496-0122
(949) 496-5027
Mailing address
7845 COLE ST, DOWNEY, CA 90242-2317
(714) 723-2088
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18539
CA
Other
Enumeration date
03/22/2018
Last updated
08/24/2018
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