Individual
SUSAN RUTH CARVALHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9700 DE SOTO AVE, CHATSWORTH, CA 91311-4409
(818) 882-8100
(818) 700-8255
Mailing address
2614 W CHANDLER BLVD, BURBANK, CA 91505-2635
(818) 882-8100
(818) 700-8255
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
6285
CA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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