Individual
ASHLEY NGOC TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
875 N BREA BLVD, BREA, CA 92821-2606
(808) 234-8193
Mailing address
13242 SIEMON AVE, GARDEN GROVE, CA 92843-2246
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22057
CA
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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