Individual
MR. BRIAN TIM PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
109 CAMPANITA CT, MONTEREY PARK, CA 91754-2330
(626) 688-1254
Mailing address
109 CAMPANITA CT, MONTEREY PARK, CA 91754-2330
(626) 688-1254
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20685
CA
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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