Individual
THU T T MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
339 S ARDMORE AVE APT 320, LOS ANGELES, CA 90020-3142
(213) 819-3291
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6123
CA
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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