Individual
CARMEN C DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3002 DOW AVE STE 114, TUSTIN, CA 92780-7247
(714) 731-4668
Mailing address
9552 TELHAN DR, HUNTINGTON BEACH, CA 92646-3622
(714) 334-1430
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
501468
CA
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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