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Individual

JUSTIN DEAN BORDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR,L

Contact information

Practice address
330 CONCORD ST UNIT A, EL SEGUNDO, CA 90245-3741
(323) 722-8610
Mailing address
330 CONCORD ST UNIT A, EL SEGUNDO, CA 90245-3741

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5401
CA

Other

Enumeration date
05/22/2007
Last updated
01/12/2010
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