Individual
GWENDOLINE R CUDIAMAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3000 WILSHIRE BLVD, 211, LOS ANGELES, CA 90010-1136
(213) 738-0999
Mailing address
3000 WILSHIRE BLVD, 211, LOS ANGELES, CA 90010-1136
(213) 738-0999
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 9101
CA
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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