Julian Ponferrada

NPI #1639630155 in Redondo Beach, California

Provider Information

NPI Number
1639630155
Entity Type
Individual
Name
Julian Ponferrada
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Mar 27, 2019
Last Updated
Mar 27, 2019

Practice Location

Address
2602 NELSON AVE
ZIP Code
90278-2613
Phone
(310) 658-3171

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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