Individual
BERNICE BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13853 OLIVE VIEW DR, SYLMAR, CA 91342-1770
(818) 419-9742
Mailing address
13853 OLIVE VIEW DR, SYLMAR, CA 91342-1770
(818) 419-9742
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25735
CA
Other
Enumeration date
03/25/2020
Last updated
02/08/2024
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