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Individual

MR. JOHN PETER NIPALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1200 QUAIL ST STE 100, NEWPORT BEACH, CA 92660-2706
(949) 475-1002
Mailing address
17860 HOFFMAN AVE, CERRITOS, CA 90703-2607
(760) 333-8809

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT21589
CA

Other

Enumeration date
09/29/2020
Last updated
09/29/2020
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