Individual
CHONDRA E TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
501 S BEACH BLVD, ANAHEIM, CA 92804-1810
(714) 816-0540
Mailing address
20691 VIA SONRISA, YORBA LINDA, CA 92886-4618
(714) 742-1071
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT9331
CA
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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