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Organization
THERA-BRIDGE
Active
Organization
THERA-BRIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANNTHONETTE DE GUZMAN (OCCUPATIONAL THERAPIST)
(818) 748-7066
Entity
Organization
Contact information
Practice address
603 E VERDUGO AVE APT J, BURBANK, CA 91501-2373
(818) 748-7066
Mailing address
603 E VERDUGO AVE APT J, BURBANK, CA 91501-2373
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13092
CA
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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