Individual
MARY ELLEN NATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 351-4652
Mailing address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 351-4652
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
4002
CA
Other
Enumeration date
06/08/2007
Last updated
07/14/2007
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