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Individual
VICTOR OM
Active
Individual
VICTOR OM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17593
CA
225XP0019X
Physical Rehabilitation Occupational Therapist
17953
CA
Other
Enumeration date
07/09/2017
Last updated
03/29/2024
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