Individual
CHRYSOLITE GADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7300 W SUNSET BLVD, LOS ANGELES, CA 90046-3429
(323) 285-2283
Mailing address
1340 N CURSON AVE APT 108, LOS ANGELES, CA 90046-4086
(708) 856-4381
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
24194
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24194
CBOT
CA
Enumeration date
11/09/2022
Last updated
11/09/2022
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