Individual
MARY THERESE ETAYEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 857-2536
(323) 857-3736
Mailing address
6774 LA PRESA DR, SAN GABRIEL, CA 91775-1108
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5942
CA
Other
Enumeration date
06/29/2007
Last updated
12/03/2021
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