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1780980409
TAMI RENEE ETHERIDGE
LOS ANGELES, CA
NPI
1780980409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: CA 11583)
Enumeration Date
2011-01-27
Last Update Date
2011-01-27
Business Address
-- TAMI RENEE ETHERIDGE OTR/L
8717 VENICE BLVD
LOS ANGELES, CA 90034-3216
Phone number: 310-337-7115
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Mailing Address
-- TAMI RENEE ETHERIDGE OTR/L
8717 VENICE BLVD
LOS ANGELES, CA 90034-3216
Phone number: 310-337-7115
Copy
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