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Individual

MISS IRINA SILCHUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
12555 LAKEWOOD BLVD, SUITE D, DOWNEY, CA 90242-2771
(562) 923-4704
(562) 923-6709
Mailing address
200 NEWPORT CENTER DR, #213, NEWPORT BEACH, CA 92660-7501
(949) 644-1322
(949) 644-0316

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12082
CA

Other

Enumeration date
10/16/2012
Last updated
03/21/2014
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