Individual
CHANTYLLE PRADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 INDIANA AVE STE 8, RIVERSIDE, CA 92503-5498
(951) 376-1120
Mailing address
1026 W FEATHER RIVER WAY, ORANGE, CA 92865-2021
(714) 616-7777
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT27965
CA
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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