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1740892645
ELLEN PARK
LOS ANGELES, CA
NPI
1740892645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 439575)
Enumeration Date
2020-08-20
Last Update Date
2020-08-20
Business Address
ELLEN PARK OTR/L
3148 W 11TH ST
LOS ANGELES, CA 90006-2322
Phone number: 213-200-2591
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Mailing Address
ELLEN PARK OTR/L
3148 W 11TH ST
LOS ANGELES, CA 90006-2322
Phone number: 213-200-2591
Copy
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