Individual
STEPHANIE CAMILLE WOODLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2117 W 112TH ST, LOS ANGELES, CA 90047-4746
(323) 952-9895
Mailing address
2117 W 112TH ST, LOS ANGELES, CA 90047-4746
(323) 952-9895
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3877
CA
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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