Individual
MA ROSELLE RALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9541 VAN NUYS BLVD, PANORAMA CITY, CA 91402-1315
(818) 893-6385
Mailing address
9541 VAN NUYS BLVD, PANORAMA CITY, CA 91402-1315
(818) 893-6385
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3290
CA
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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