Individual
MS. EDITH M MAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2355 WESTWOOD BLVD, #703, LOS ANGELES, CA 90064-2109
(310) 790-4292
(310) 470-5971
Mailing address
PO BOX 64855, LOS ANGELES, CA 90064-0855
(310) 790-4292
(310) 470-5971
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
855
CA
Other
Enumeration date
03/15/2007
Last updated
12/08/2009
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