Individual
DESTINY ALVARADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3680 E IMPERIAL HWY STE 504, LYNWOOD, CA 90262-2659
(310) 807-7545
Mailing address
6578 VIA GANCHO CIR, BUENA PARK, CA 90620-4117
(323) 399-8630
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT25042
CA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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