Individual
ELSE MANDOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2595 E WASHINGTON BLVD STE 108, PASADENA, CA 91107-1409
(626) 639-3887
(626) 639-3887
Mailing address
2595 E WASHINGTON BLVD STE 108, PASADENA, CA 91107-1409
(626) 639-3887
(626) 639-3887
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1508
CA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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