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1235178401
TERRY MILFORD WELLBAUM
SANTA ANA, CA
NPI
1235178401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: CA 634)
Enumeration Date
2006-06-05
Last Update Date
2007-07-08
Business Address
Mrs. TERRY MILFORD WELLBAUM OTR
200 W SANTA ANA BLVD
SANTA ANA, CA 92701-4134
Phone number: 714-647-0300
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Mailing Address
Mrs. TERRY MILFORD WELLBAUM OTR
24242 LA CRESTA DR
DANA POINT, CA 92629-2561
Phone number: 949-496-3363
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