Individual
CHRISTOPHER TRAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22552 PETRA, MISSION VIEJO, CA 92692-1125
(650) 793-0136
Mailing address
22552 PETRA, MISSION VIEJO, CA 92692-1125
(650) 793-0136
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1395
CA
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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