Individual
MOLLIE CHAINANI BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
805 AEROVISTA PL STE 101, SAN LUIS OBISPO, CA 93401-7921
(805) 996-0899
(805) 250-3089
Mailing address
805 AEROVISTA PL STE 101, SAN LUIS OBISPO, CA 93401-7921
(805) 996-0899
(805) 250-3089
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
8048
CA
225XP0200X
Pediatric Occupational Therapist
Primary
OT 8048
CA
Other
Enumeration date
04/14/2014
Last updated
01/09/2023
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