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Noah Vutheikun, COTA/L

NPI 1811720329 · on the registry since 2024 · sole proprietor

Practice

Address: 9620 Fremont Ave
Montclair, CA 91763
Phone: (909) 621-4751
Organisation at this address: John Daliva, Do Inc
Community Convalescent Center Of Montclair Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Occupational Therapy Assistant
224Z00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California