NPI 1063286722

Nestle Ilano Quiambao, COTAL

Practitioner Occupational Therapy Assistant Los Angeles, CA

Practice location

Address: 5310 Fountain Ave, Los Angeles, CA 90029-1005
Phone: (323) 461-9961
Mailing address: 121 W Maple St APT 1, Glendale, CA 91204-2137

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 6596 (CA)

Other Occupational Therapy Assistant providers in California →

Registry record

NPI: 1063286722
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Nov 2023
Record last updated: 13 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.