Individual
JANNO ANCHETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
7120 CORBIN AVE, RESEDA, CA 91335-3618
(818) 881-4540
Mailing address
8019 BONFIELD AVE, NORTH HOLLYWOOD, CA 91605-1118
(909) 618-7841
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5679
CA
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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