Individual
JACQUILINE P. MALANOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
805 GLENVISTA DR, GLENDALE, CA 91206-2619
(818) 634-9580
(818) 956-8233
Mailing address
805 GLENVISTA DR, GLENDALE, CA 91206-2619
(818) 634-9580
(818) 956-8233
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2390
CA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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