Individual
MRS. LEONIE B KAWAGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
875 N BREA BLVD, BREA, CA 92821-2606
(714) 529-6842
Mailing address
15334 GOODHUE ST, WHITTIER, CA 90604-2320
(626) 378-6140
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA4744
CA
Other
Enumeration date
02/02/2019
Last updated
05/26/2021
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