Individual
MRS. MICHELLE L. RADMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
20902 BAKE PKWY STE 100, LAKE FOREST, CA 92630-2175
(949) 600-5437
Mailing address
22632 LEAFLOCK ST, LAKE FOREST, CA 92630-3619
(949) 463-4599
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6790
CA
Other
Enumeration date
09/02/2012
Last updated
09/02/2012
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