Organization
GRECO'S WORLD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANA C FERNANDEZ (DIRECTOR)
(310) 418-4456
Entity
Organization
Contact information
Practice address
11821 TEALE ST, CULVER CITY, CA 90230-7701
(310) 418-4456
(310) 390-8878
Mailing address
11821 TEALE ST, CULVER CITY, CA 90230-7701
(310) 418-4456
(310) 390-8878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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