Individual
ELAINE KATHERINE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11205 KNOTT AVE STE E, CYPRESS, CA 90630-5489
(714) 893-7399
Mailing address
11205 KNOTT AVE STE E, CYPRESS, CA 90630-5489
(714) 893-7399
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17290
CA
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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