Individual
CHAITALI SUTRADHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
706 N DIAMOND BAR BLVD STE B2, DIAMOND BAR, CA 91765-1059
(909) 396-8900
(909) 396-9900
Mailing address
706 N DIAMOND BAR BLVD STE B2, DIAMOND BAR, CA 91765-1059
(909) 396-8900
(909) 396-9900
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
11/11/2017
Last updated
11/11/2017
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