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Individual

CAROLINE FOURNIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
1932 14TH ST, SANTA MONICA, CA 90404-4605
(310) 344-2276
Mailing address
3640 S SEPULVEDA BLVD APT 339, LOS ANGELES, CA 90034-6857
(508) 468-8235

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT18619
CA

Other

Enumeration date
07/31/2018
Last updated
07/31/2018
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