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Individual

IRENE PRINGSULAKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A, OTR/L

Contact information

Practice address
13326 SEMORA PL, CERRITOS, CA 90703-8632
(562) 884-2256
Mailing address
13326 SEMORA PL, CERRITOS, CA 90703-8632
(562) 884-2256

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
14237
CA

Other

Enumeration date
06/28/2016
Last updated
06/28/2016
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