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Individual

CHELSEA ANNE BUCKAWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1575 E WASHINGTON BLVD, PASADENA, CA 91104-2675
(626) 791-1981
Mailing address
12831 MILBANK ST, STUDIO CITY, CA 91604-1354

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22774
CA

Other

Enumeration date
09/26/2022
Last updated
09/26/2022
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