Individual
SOPHIA GUESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20145 HARTLAND ST, WINNETKA, CA 91306-3524
(760) 475-3539
Mailing address
20145 HARTLAND ST, WINNETKA, CA 91306-3524
(760) 475-3539
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
21256
CA
Other
Enumeration date
08/12/2020
Last updated
06/14/2023
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