Individual
DEBORAH BAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
15101 MAGNOLIA BLVD, H7, SHERMAN OAKS, CA 91403-1250
(818) 635-9033
Mailing address
15101 MAGNOLIA BLVD, H7, SHERMAN OAKS, CA 91403-1250
(818) 635-9033
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
9713
CA
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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