Individual
MICHELLE EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W CENTRAL AVE, BREA, CA 92821-3027
(714) 529-5022
Mailing address
17614 ROSA DREW LN APT 6A, IRVINE, CA 92612-2914
(239) 270-4496
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
481709
CA
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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