Individual provider · Type 1 NPI

Christine L. Takata

Rehabilitation Practitioner · Pomona, CA

NPI number 1629238712 Active

Practice location

160 E Holt Ave Ste B
Pomona, CA 91767-5407

Call (909) 620-2521 Map

Mailing address

2825 Tuolumne Pl Unit F
Ontario, CA 91761-0167

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XRW1713 (CA)
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1629238712

Christine L. Takata's National Provider Identifier is 1629238712, issued on Jun 11, 2008. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Pomona, CA. The record was last updated on Jun 11, 2008.