Individual
SVETLANA GONCHAROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASOCIATE
Contact information
Practice address
6233 VARIEL AVE, WOODLAND HILLS, CA 91367-2512
(818) 651-6018
Mailing address
1234 N LA BREA AVE APT 509, WEST HOLLYWOOD, CA 90038-1579
(323) 603-8702
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA5727
CA
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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