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Individual

ELLIE MARY PAVLOV KRAUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2040 PACIFIC COAST HWY, LOMITA, CA 90717-2660
(310) 257-6408
Mailing address
1736 W 1ST ST, SAN PEDRO, CA 90732-3107
(310) 832-6253

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
1344
CA

Other

Enumeration date
04/09/2007
Last updated
12/01/2021
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