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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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