Individual
SOU CHHUOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12831 MACLAY ST, SYLMAR, CA 91342-4934
(626) 757-6651
Mailing address
12831 MACLAY ST, SYLMAR, CA 91342-4934
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3334
CA
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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