Individual
MICHELLE YVONNE VELASQUEZ MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
273 E BEVERLY BLVD, MONTEBELLO, CA 90640-3775
(323) 724-5100
Mailing address
8324 MILLERGROVE DR, WHITTIER, CA 90606-3027
(951) 655-0464
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
985
CA
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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