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Individual

DR. HEIDI ELIZABETH TENPAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
108 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
Mailing address
108 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16894
CA
225XM0800X
Mental Health Occupational Therapist
16894
CA

Other

Enumeration date
05/19/2016
Last updated
12/16/2024
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