Individual
MARYLIN TRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2385 SEABRIGHT AVE, LONG BEACH, CA 90810-3206
(562) 788-0627
Mailing address
2385 SEABRIGHT AVE, LONG BEACH, CA 90810-3206
(562) 788-0627
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6414
CA
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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