TARRA PROVISOR

LOS ANGELES, CA
NPI1811842651
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  12052)
Enumeration Date2026-02-26
Last Update Date2026-02-26
Business Address
TARRA PROVISOR
333 S BEAUDRY AVE FL 17
LOS ANGELES, CA 90017-5105
Phone number: 818-277-6255
Mailing Address
TARRA PROVISOR
333 S BEAUDRY AVE FL 17
LOS ANGELES, CA 90017-5105
Phone number: 818-277-6255
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