Individual
MR. JOEY CHAN SERRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
141 S ORANGE AVE, BREA, CA 92821-4953
(336) 453-8898
Mailing address
141 S ORANGE AVE, BREA, CA 92821-4953
(336) 453-8898
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0000394
ZZ
225X00000X
Occupational Therapist
Primary
11129
CA
225X00000X
Occupational Therapist
14049
FL
225X00000X
Occupational Therapist
7409
NC
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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