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Individual

ANAMARIA ADAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19634 VENTURA BLVD STE 303, TARZANA, CA 91356-6022
(818) 975-8203
Mailing address
19634 VENTURA BLVD STE 303, TARZANA, CA 91356-6022
(818) 975-8203

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18028
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18028
BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
05/11/2018
Last updated
05/11/2018
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