Individual
CHANITA PANCHASARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
478 GENTRY CT, WALNUT CREEK, CA 94598-1864
(925) 324-7272
Mailing address
478 GENTRY CT, WALNUT CREEK, CA 94598-1864
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14070
CA
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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