Individual
KAREN GEORGINA STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
28221 BALKINS DR, AGOURA HILLS, CA 91301-1805
(510) 459-3589
Mailing address
28221 BALKINS DR, AGOURA HILLS, CA 91301-1805
(510) 459-3589
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7866
CA
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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