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Individual

BONNIE FREEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., OTR/L

Contact information

Practice address
5220 W 104TH ST, LOS ANGELES, CA 90045-6102
(888) 711-6272
(310) 882-5415
Mailing address
5220 W 104TH ST, LOS ANGELES, CA 90045-6102
(888) 711-6272
(310) 882-5415

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1424
CA

Other

Enumeration date
09/01/2010
Last updated
09/01/2010
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