STEPHANIE UNTALAN

LA VERNE, CA
NPI1255928628
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  5337)
Enumeration Date2020-12-30
Last Update Date2020-12-30
Business Address
STEPHANIE UNTALAN COTA/L
2061 WRIGHT AVE STE A7
LA VERNE, CA 91750-5813
Phone number: 909-519-8912
Mailing Address
STEPHANIE UNTALAN COTA/L
1125 S BENDER AVE
GLENDORA, CA 91740-5008
Phone number: