Individual
CAROLINE ALBERTA CUSOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1815 W 213TH ST STE 100, TORRANCE, CA 90501-2852
(310) 328-0276
Mailing address
1005 S TROTWOOD AVE, SAN PEDRO, CA 90732-3749
(310) 740-4694
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
26808
CA
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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