Individual
BERTHA BROWN HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.L.
Contact information
Practice address
13652 CANTARA ST., BALBOA PLAZA, PANORAMA CITY, CA 91492
(818) 832-7200
Mailing address
PO BOX 5654, PASADENA, CA 91117-0654
(626) 392-5634
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6947
CA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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