SUSANNA SOL MOON

RANCHO CUCAMONGA, CA
NPI1245811686
Former NameSUSANNA SOL YANG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  22111)
Enumeration Date2021-04-17
Last Update Date2021-04-17
Business Address
SUSANNA SOL MOON MSOT, OTR/L
8282 WHITE OAK AVE STE 107
RANCHO CUCAMONGA, CA 91730-7681
Phone number: 909-586-0509
Mailing Address
SUSANNA SOL MOON MSOT, OTR/L
10591 LAKESIDE DR S UNIT I
GARDEN GROVE, CA 92840-5081
Phone number: 951-215-5545
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