Most Relevant Information
Provider Data
| NPI Number: | 1003482613 |
| Provider Name: | JUSTIN A PARNELL |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 10318 |
Most Important Dates
| Enumeration Date: | 06/03/2021 |
| Last Updated: | 05/13/2024 |
Provider Practice Location
108 W VICTORIA ST
GARDENA
CA
902483523
Practice Location Phone/Fax
| Phone: | 3107152020 |
| Fax: |
Provider Mailing Location
6337 HALSTEAD AVE
RANCHO CUCAMONGA
CA
917373750
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |