Individual
CHARLENE DELOS REYES TRABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1035 W BEVERLY BLVD, MONTEBELLO, CA 90640-4138
(323) 723-1315
Mailing address
619 W GRAVES AVE, MONTEREY PARK, CA 91754-3826
(323) 803-9980
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10915
CA
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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