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Individual

GUADALUPE E. THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
8885 VENICE BLVD, SUITE 105, LOS ANGELES, CA 90034-3242
(310) 838-1552
Mailing address
1907 W 42ND ST, LOS ANGELES, CA 90062-1419
(323) 296-7535

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
7739
CA
225XP0200X
Pediatric Occupational Therapist
Primary
7739
CA

Other

Enumeration date
01/10/2007
Last updated
02/28/2013
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