Individual
KENT IWAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 S GARFIELD AVE, ALHAMBRA, CA 91801-3838
(626) 282-3151
Mailing address
1000 N LAS FLORES AVE, MONTEBELLO, CA 90640-2777
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2846
CA
Other
Enumeration date
01/10/2015
Last updated
01/10/2015
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