Justin Baetiong Talavera, OTR/L

NPI #1073267035 in Northridge, California

Provider Information

NPI Number: 1073267035
Entity Type: Individual
Name: Justin Baetiong Talavera, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Feb 9, 2022
Last Updated: Feb 9, 2022

Practice Location

Address: 17275 LASSEN ST
City: Northridge
State: California
ZIP Code: 91325-1956
Phone: (818) 294-4707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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