Individual
MONA KAZEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1640 REDSTONE CENTER DR, SUITE 200, PARK CITY, UT 84098-7605
(866) 474-6677
Mailing address
3412 S CENTINELA AVE, APT 5, LOS ANGELES, CA 90066-1855
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00012326
CA
225X00000X
Occupational Therapist
114945
TX
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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