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Individual

AVRY UMALI-ANDAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L, OTRP

Contact information

Practice address
19753 STAGG ST, WINNETKA, CA 91306-2651
(213) 453-1217
Mailing address
19753 STAGG ST, WINNETKA, CA 91306-2651
(213) 453-1217

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11405
CA

Other

Enumeration date
05/09/2012
Last updated
05/09/2012
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