Individual
MAIJU KAROLIINA BOELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9471 BLACKLEY ST, TEMPLE CITY, CA 91780-3158
(626) 375-4013
Mailing address
9471 BLACKLEY ST, TEMPLE CITY, CA 91780-3158
(626) 375-4013
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
13763
CA
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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