Individual
MS. JULIE BETH MANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
11301 WILSHIRE BLVD (117), LOS ANGELES, CA 90073
(310) 478-3711
Mailing address
1909 PELHAM AVE APT 107, LOS ANGELES, CA 90025-5859
(310) 475-6235
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 1574
CA
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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