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Individual

ELANA HAVUSHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1000 S FREMONT AVE UNIT 27, ALHAMBRA, CA 91803-8849
(213) 607-4400
Mailing address
1000 S FREMONT AVE UNIT 27, ALHAMBRA, CA 91803-8849

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20450
CA

Other

Enumeration date
02/05/2020
Last updated
02/05/2020
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