Individual
JOHN BENEDICT SIANGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
5901 GREEN VALLEY CIR STE 466-467, CULVER CITY, CA 90230-6938
(818) 788-1003
Mailing address
20619 WARDHAM AVE, LAKEWOOD, CA 90715-1825
(562) 219-6923
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5593
CA
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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