GRACE ELISE SHANDALOV

ORINDA, CA
NPI1730618026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  11581)
Enumeration Date2017-06-08
Last Update Date2018-06-16
Business Address
Mrs. GRACE ELISE SHANDALOV OTR/L
24 ZANDER DRIVE
ORINDA, CA 94563
Phone number: 925-683-7144
Mailing Address
Mrs. GRACE ELISE SHANDALOV OTR/L
24 ZANDER DR
ORINDA, CA 94563-3625
Phone number: