THERESA MARY GABRIELLE CHERN

SANTA MONICA, CA
NPI1588911754
Former NameTHERESA MARY ANN ROY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225800000X Recreation Therapist
(Licence: CA  41502)
Additional Taxonomies174400000X Specialist
(Licence: CA  41502)
171W00000X Contractor
(Licence: CA  41502)
Enumeration Date2012-08-07
Last Update Date2015-05-01
Business Address
Ms. THERESA MARY GABRIELLE CHERN CTRS
1433 6TH ST APT F
SANTA MONICA, CA 90401-2554
Phone number: 310-488-1232
Mailing Address
Ms. THERESA MARY GABRIELLE CHERN CTRS
1433 6TH ST APT F
SANTA MONICA, CA 90401-2554
Phone number: 310-488-1232