Individual
EKATERINA SHAKLEINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 E DORAN ST APT D, GLENDALE, CA 91206-3427
(424) 394-4923
Mailing address
1110 E DORAN ST APT D, GLENDALE, CA 91206-3427
(424) 394-4923
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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