Individual
BAHAR TAVAKOLIAN SALEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28570 MARGUERITE PKWY, MISSION VIEJO, CA 92692-3713
(949) 844-6632
Mailing address
11923 MAYBROOK AVE, WHITTIER, CA 90604-4129
(562) 640-1364
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26705
CA
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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