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Individual

SANDRA CAROLE MORO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR.L

Contact information

Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 669-2118
(323) 663-0093
Mailing address
1017 3RD ST, HERMOSA BEACH, CA 90254-5344
(818) 415-5075

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT6735
CA

Other

Enumeration date
03/13/2007
Last updated
07/08/2007
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