Individual
AJA VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 W CERRITOS AVE, ANAHEIM, CA 92805-6549
(714) 533-1230
Mailing address
217 W CERRITOS AVE, ANAHEIM, CA 92805-6549
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15675
CA
Other
Enumeration date
09/29/2015
Last updated
04/08/2016
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