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Individual

MS. EMI ITO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1348 SHADOWBROOK TER, HARBOR CITY, CA 90710-2472
(310) 706-5782
Mailing address
1348 SHADOWBROOK TER, HARBOR CITY, CA 90710
(310) 706-5782

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13922
CA
225X00000X
Occupational Therapist
OT13922
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13922
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
01
OT13922
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
12/13/2013
Last updated
12/13/2013
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