Individual
MRS. JEAN FABRUADA CROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1955 LOMITA BLVD, LOMITA, CA 90717-1807
(310) 325-1970
Mailing address
962 1ST ST, UNIT B, HERMOSA BEACH, CA 90254-5321
(310) 376-3001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 6324
CA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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