Individual
MS. CYRENE MARI CARONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5801 CRESTRIDGE RD, RANCHO PALOS VERDES, CA 90275-4961
(877) 582-0153
Mailing address
1248 W PARK WESTERN DR UNIT 44, SAN PEDRO, CA 90732-2280
(310) 308-8871
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5764
CA
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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