Individual
SHELLY LARANANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3341 E 61ST ST, LONG BEACH, CA 90805-3803
(310) 977-4996
Mailing address
3341 E 61ST ST, LONG BEACH, CA 90805-3803
(310) 977-4996
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3312
CA
Other
Enumeration date
10/15/2015
Last updated
02/16/2023
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