Individual
ELIZABETH VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
943 N GRAND AVE, COVINA, CA 91724-2046
(626) 671-6100
Mailing address
943 N GRAND AVE, COVINA, CA 91724-2046
(626) 671-6100
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
28101
CA
Other
Enumeration date
09/09/2025
Last updated
11/21/2025
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