Individual
HASMIN ILAGAN PANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1740 S SAN DIMAS AVE, SAN DIMAS, CA 91773-5108
(909) 394-0304
(909) 305-4647
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(800) 944-9782
(610) 438-2046
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT7862
CA
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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