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Individual

DR. ALLIE TICKTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, OTR/L, OTD-C

Contact information

Practice address
8013 MELROSE AVE, LOS ANGELES, CA 90046-7009
(323) 782-3331
Mailing address
8013 MELROSE, LOS ANGELES, CA 90035

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
14750
CA

Other

Enumeration date
08/03/2015
Last updated
07/25/2017
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