Individual
JOHNATHAN QUACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
14221 EUCLID ST STE F, GARDEN GROVE, CA 92843-4991
(714) 891-2739
Mailing address
2214 BOBBY LN, SANTA ANA, CA 92706-1249
(714) 343-4834
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21284
CA
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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