Individual
JED DEL ROSARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1479 STARBURST DR, WEST COVINA, CA 91790-4544
(626) 242-3426
Mailing address
1479 STARBURST DR, WEST COVINA, CA 91790-4544
(626) 242-3426
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5347
CA
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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