Individual
MARIBEL TALAVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22125 ROSCOE BLVD, CANOGA PARK, CA 91304
(818) 883-7292
Mailing address
22125 ROSCOE BLVD, CANOGA PARK, CA 91304-3839
(818) 883-7292
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 136
CA
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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