Individual
EMILY REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
410 E MERCED AVE STE E, WEST COVINA, CA 91790-5058
(323) 426-6402
Mailing address
9234 GUESS ST, ROSEMEAD, CA 91770-1906
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA6892
CA
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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