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1255662367
MARY THERESA PORCELLA
SANTA ANA, CA
NPI
1255662367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: CA 5321)
Enumeration Date
2010-01-29
Last Update Date
2010-11-03
Business Address
Ms. MARY THERESA PORCELLA OTR/L
18542-B VANDERLIP AVE.
SANTA ANA, CA 92705
Phone number: 714-573-8888
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Mailing Address
Ms. MARY THERESA PORCELLA OTR/L
18542-B VANDERLIP AVE.
SANTA ANA, CA 92705
Phone number: 714-573-8888
Copy
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