JENNELL MUNDORF

HAWTHORNE, CA
NPI1659677722
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  11593)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: MA  12533)
Enumeration Date2011-02-07
Last Update Date2018-05-08
Business Address
JENNELL MUNDORF OTR/L
11840 S LA CIENEGA BLVD
HAWTHORNE, CA 90250-3459
Phone number: 307-259-6103
Mailing Address
JENNELL MUNDORF OTR/L
11840 S LA CIENEGA BLVD
HAWTHORNE, CA 90250-3459
Phone number: 307-259-6103