Individual
CHANTAL JOHANNA OLENCZUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
50 N HILL AVE STE 302, PASADENA, CA 91106-1903
(818) 237-5409
Mailing address
1234 E CALIFORNIA AVE APT 219, GLENDALE, CA 91206-5053
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17160
CA
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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