Individual
YSABEL MERCEDES CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1380 E NORTH HILLS DR, LA HABRA, CA 90631-3237
(562) 553-2242
Mailing address
1045 W REDONDO BEACH BLVD, GARDENA, CA 90247-4128
(310) 553-2695
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA5311
CA
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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