Individual
CAROLINE ELIZABETH PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1538 E WARNER AVE, SUITE A, SANTA ANA, CA 92705-5476
(714) 434-4773
Mailing address
234 E 18TH ST, COSTA MESA, CA 92627-3105
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT8264
CA
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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