Individual
ETHAN DU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N MOUNTAIN AVE STE 100, UPLAND, CA 91786-5194
(909) 596-4346
Mailing address
3100 GARDENIA LN, YORBA LINDA, CA 92886-1878
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
550205
CA
Other
Enumeration date
07/03/2026
Last updated
07/03/2026
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