Individual
CLARA MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22635 ESPUELLA DR, SANTA CLARITA, CA 91350-2370
(818) 294-5315
Mailing address
25917 BURKE PL, STEVENSON RANCH, CA 91381-1146
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6012
CA
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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