Individual
ANGELA EARNHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E DEL MAR BLVD STE 112, PASADENA, CA 91105-2552
(626) 564-2700
Mailing address
3905 EL CAMINITO, GLENDALE, CA 91214-1027
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4804
CA
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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