Individual
LAURA JANETH LIMON TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1000 S FREMONT AVE UNIT 27, ALHAMBRA, CA 91803-8849
(626) 289-7472
Mailing address
1000 S FREMONT AVE UNIT 27, ALHAMBRA, CA 91803-8849
(626) 289-7472
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5971
CA
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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