Individual
IVANLAURENT CALARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN, COTA/L
Contact information
Practice address
17042 BELLFLOWER BLVD, BELLFLOWER, CA 90706-5950
(562) 991-1324
(562) 502-9862
Mailing address
17042 BELLFLOWER BLVD, BELLFLOWER, CA 90706-5950
(562) 991-1324
(562) 502-9862
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3802
CA
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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