Individual
ALEXANDRA ZUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
717 5TH AVE, VENICE, CA 90291-3024
(419) 357-5613
Mailing address
717 5TH AVE, VENICE, CA 90291-3024
(419) 357-5613
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
19454
CA
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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