Individual
MRS. NICOLE ANN TENPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1273 7TH ST, HERMOSA BEACH, CA 90254-4947
(310) 308-7772
Mailing address
1273 7TH ST, HERMOSA BEACH, CA 90254-4947
(310) 308-7772
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3788
CA
Other
Enumeration date
09/29/2009
Last updated
10/02/2009
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