Individual
ALIVIA CHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17050 ARNOLD DR, RIVERSIDE, CA 92518-2806
(833) 399-1402
Mailing address
17050 ARNOLD DR, RIVERSIDE, CA 92518-2806
(833) 399-1402
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
434783
CA
Other
Enumeration date
08/21/2019
Last updated
03/12/2021
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