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1104483023
WINNY SOENARYO
LOS ANGELES, CA
NPI
1104483023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT18762)
Enumeration Date
2019-05-27
Last Update Date
2022-06-17
Business Address
WINNY SOENARYO OT
1640 MARENGO ST STE 500
LOS ANGELES, CA 90033-1061
Phone number: 323-442-3340
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Mailing Address
WINNY SOENARYO OT
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-442-3340
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