Individual
STEFFI BALUYOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1614 E CHEVY CHASE DR APT 1, GLENDALE, CA 91206-2856
(432) 553-5641
Mailing address
1614 E CHEVY CHASE DR APT 1, GLENDALE, CA 91206-2856
(432) 553-5641
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4482
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4482
OCCUPATIONAL THERAPY ASSISTANCE LICENSE
CA
Enumeration date
08/04/2022
Last updated
08/04/2022
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