Individual
ERIN BLAIRE BUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 MARENGO ST STE 500, LOS ANGELES, CA 90033-1061
(323) 442-3340
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-3340
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT20607
CA
Other
Enumeration date
01/01/2018
Last updated
11/27/2023
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