Individual
REVATHY RANGANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
638 E COLORADO AVE, GLENDORA, CA 91740-4422
(626) 963-6091
Mailing address
13636 RUNNING SPRINGS DR, CHINO HILLS, CA 91709-1442
(909) 210-7302
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4138
CA
Other
Enumeration date
12/30/2019
Last updated
12/31/2019
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