Individual
ABEER OTAKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
301 E FOOTHILL BLVD, ARCADIA, CA 91006-2549
(626) 538-2751
Mailing address
301 E FOOTHILL BLVD, ARCADIA, CA 91006-2549
(909) 524-2104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
15289
CA
235Z00000X
Speech-Language Pathologist
Primary
33154
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15289
SPEECH-LANGUAGE PATHOLOGY, AUDIOLOGY & HEARING AID DISPENSERS BOARD
CA
01
—
33154
SPEECH-LANGUAGE PATHOLOGY, AUDIOLOGY & HEARING AID DISPENSERS BOARD
CA
Enumeration date
12/24/2020
Last updated
10/17/2022
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