Individual
JEANINE MOUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
529 E LIVE OAK AVE STE E, ARCADIA, CA 91006-5600
(626) 340-4357
Mailing address
1219 S ALTA VISTA AVE APT 101, MONROVIA, CA 91016-4049
(201) 638-5812
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
23340
CA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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