Individual
KELLY TRICIA MEIJUN MAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12411 SLAUSON AVE, UNIT H, WHITTIER, CA 90606-2835
(562) 693-5449
(562) 693-5469
Mailing address
1615 LAS FLORES AVE, SAN MARINO, CA 91108-1615
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16071
CA
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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