Individual
JEREMY OLIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21820 CRAGGY VIEW ST, CHATSWORTH, CA 91311-2909
(818) 882-8233
Mailing address
15945 SAN FERNANDO MISSION BLVD, GRANADA HILLS, CA 91344-3934
(818) 854-5846
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3630
CA
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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