Individual
ODESSA ASHLEY MAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2943 E SUNSTONE ST, ONTARIO, CA 91762-7373
(858) 337-0137
Mailing address
2943 E SUNSTONE ST, ONTARIO, CA 91762-7373
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
22877
CA
Other
Enumeration date
02/16/2021
Last updated
05/17/2023
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