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Individual

REBECCA JEAN MATHISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOT

Contact information

Practice address
21515 HAWTHORNE BLVD STE G100, TORRANCE, CA 90503-6501
(424) 571-2618
Mailing address
1025 2ND ST APT 11, SANTA MONICA, CA 90403-3643
(828) 460-4787

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
14263
NC
225X00000X
Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
Primary
23908
CA

Other

Enumeration date
07/09/2021
Last updated
01/29/2023
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