Individual
HANNA IVANTSOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8501 WILSHIRE BLVD STE 336, BEVERLY HILLS, CA 90211-3134
(917) 391-4077
Mailing address
8501 WILSHIRE BLVD STE 336, BEVERLY HILLS, CA 90211-3134
(917) 391-4077
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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