Individual
BETHRESE ELANE PADINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15454 GALE AVE, HACIENDA HEIGHTS, CA 91745-1500
(626) 330-1538
Mailing address
2700 S AZUSA AVE APT 195, WEST COVINA, CA 91792-1620
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/28/2019
Last updated
04/06/2021
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