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Individual

CHARISA KADDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4889 KATELLA AVE, CYPRESS, CA 90720-2690
(619) 375-8302
Mailing address
5792 ANTHONY AVE, GARDEN GROVE, CA 92845-2612
(714) 514-8053

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26016
CA

Other

Enumeration date
09/02/2022
Last updated
01/29/2024
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