Individual
CARLENE SAMANTHA WASSERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 E FOOTHILL BLVD, PASADENA, CA 91107-3406
(626) 793-5141
Mailing address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14707
CA
Other
Enumeration date
12/03/2012
Last updated
10/25/2017
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