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ANGELA DIVINAGRACIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
500 W CENTRAL AVE STE B, BREA, CA 92821-3036
(714) 529-5022
Mailing address
11252 VISTA LN, EL MONTE, CA 91731-1456
(562) 370-7429

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3737
CA

Other

Enumeration date
06/13/2017
Last updated
03/17/2018
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