Individual
CHANTAL SOTOMAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
879 W 190TH ST STE 300, GARDENA, CA 90248
(310) 323-6887
Mailing address
879 W 190TH ST STE 300, GARDENA, CA 90248-4223
(310) 323-6887
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT25900
CA
225X00000X
Occupational Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/14/2022
Last updated
12/10/2024
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