Individual
CHEYANNE GARCIA MIETCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L, CAS
Contact information
Practice address
1932 14TH ST, SANTA MONICA, CA 90404-4605
(310) 344-2276
Mailing address
11701 TEXAS AVE APT 205, LOS ANGELES, CA 90025-1670
(562) 522-4039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
24303
CA
Other
Enumeration date
11/07/2022
Last updated
12/04/2024
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