Individual
GABRIEL MICCICHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21999 PROPELLO DR, SANTA CLARITA, CA 91350
(562) 233-1029
Mailing address
21999 PROPELLO DR, SANTA CLARITA, CA 91350
(562) 233-1029
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8138
CA
Other
Enumeration date
05/21/2007
Last updated
01/15/2016
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