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Individual

MATTHEW REGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
1131 N VISTA ST, WEST HOLLYWOOD, CA 90046-5642
(323) 810-4541
Mailing address
1131 N VISTA ST, WEST HOLLYWOOD, CA 90046-5642
(323) 810-4541

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1381
CA

Other

Enumeration date
01/07/2015
Last updated
01/07/2015
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