Individual
MAXINE ARIEL LEDET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
724 E FOOTHILL BLVD, SAN DIMAS, CA 91773-1209
(334) 439-9379
Mailing address
941 W 47TH ST, LOS ANGELES, CA 90037-2948
(334) 439-9379
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
21560
CA
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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