Individual
BROOK ELIZABETH PAMPLONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
21 ZACA LN, SAN LUIS OBISPO, CA 93401-7344
(805) 234-5135
Mailing address
304 SAN GABRIEL AVE, MORRO BAY, CA 93442-1806
(805) 234-5135
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3955
CA
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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