Individual
VALSALA THOLATH ZACHARIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA, RN
Contact information
Practice address
1730 GRAND AVE, LONG BEACH, CA 90804-2011
(800) 870-7989
Mailing address
C/O CBOT, 444 NORTH THIRD ST., SUITE 410, SACRAMENTO, CA 95814
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
804699
CA
224Z00000X
Occupational Therapy Assistant
Primary
1457
CA
Other
Enumeration date
03/22/2007
Last updated
12/01/2011
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