Individual
MICHAEL MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8616 E WINDSONG DR, ANAHEIM, CA 92808-1634
(714) 858-0811
Mailing address
8616 E WINDSONG DR, ANAHEIM, CA 92808-1634
(714) 858-0811
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3960
CA
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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