Individual
KARINA CELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 W BEVERLY BLVD, MONTEBELLO, CA 90640-4138
(323) 724-1315
Mailing address
51340 AVENIDA RAMIREZ, LA QUINTA, CA 92253-3028
(760) 899-2913
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5658
CA
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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