Individual
BIANCA DONLUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2501 ILLINOIS AVE, SOUTH GATE, CA 90280-3907
(323) 601-3393
Mailing address
2501 ILLINOIS AVE, SOUTH GATE, CA 90280-3907
(323) 601-3393
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5906
CA
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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