Individual
DONNA ANZAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
33492 OAK GLEN RD, SUITE H, YUCAIPA, CA 92399-2096
(909) 767-5155
(909) 363-8574
Mailing address
22908 WREN STREET, GRAND TERRACE, CA 92313-5580
(800) 644-2966
(909) 363-8574
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1680
CA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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