Organization
LITTLE ROOTS PEDIATRIC THERAPY
Active
Organization
LITTLE ROOTS PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUSAMBEN AMIN MSOT (OCCUPATIONAL THERAPIST)
(714) 272-5193
Entity
Organization
Contact information
Practice address
4232 S HEATHER PRIVADO, ONTARIO, CA 91761-2606
(714) 272-5193
Mailing address
4232 S HEATHER PRIVADO, ONTARIO, CA 91761-2606
(714) 272-5193
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
06/09/2025
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