Theodora Chan, MSOT, OTR/L
Occupational Therapist, Pediatrics in Monrovia, CA. Individual provider (NPI-1).
NPI number1982204764
StatusActive
Last updated in NPPESOct 29, 2020
Details
- NPI
- 1982204764
- Entity type
- Individual (NPI-1)
- Name
- Theodora Chan
- Credential
- MSOT, OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2020
- Certification date
- Oct 27, 2020
- Last updated
- Oct 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | 21682 | CA | Yes |
Practice location
116 E Walnut AveMonrovia, CA 91016-3431
Phone 626-357-9934
Mailing address
116 E Walnut AveMonrovia, CA 91016-3431
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All 15 Pediatric Occupational Therapist providers in Monrovia · All 18,566 providers in Monrovia
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