Individual
CHANEL BEN-HAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3652 MICHELSON DR, IRVINE, CA 92612-1727
(760) 294-1206
Mailing address
26421 MARSALA WAY, MISSION VIEJO, CA 92692-3264
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-17-43881
CA
225X00000X
Occupational Therapist
Primary
23847
CA
Other
Enumeration date
01/02/2018
Last updated
10/07/2024
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