ARIELLE TENAYA MARIE GOUT

PASADENA, CA
NPI1033517057
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  OT16754)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-12-08
Last Update Date2016-12-27
Business Address
-- ARIELLE TENAYA MARIE GOUT OT
2550 E FOOTHILL BLVD
PASADENA, CA 91107-3406
Phone number: 626-463-1021
Mailing Address
-- ARIELLE TENAYA MARIE GOUT OT
2550 E FOOTHILL BLVD
PASADENA, CA 91107-3406
Phone number: 818-901-6600