Individual
BRENDA SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5518 E SORRENTO DR, LONG BEACH, CA 90803-3640
(661) 333-1312
Mailing address
5518 E SORRENTO DR, LONG BEACH, CA 90803-3640
(661) 333-1312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1015
ID
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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