Individual
BRIAR BAKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
850 S SUNKIST AVE, WEST COVINA, CA 91790-2534
(562) 619-0656
Mailing address
7652 EL TORO CIR, LA PALMA, CA 90623-2404
(562) 619-0656
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5712
CA
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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