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Individual

SCOTT SEIDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
23271 VERDUGO DR, #B, LAGUNA HILLS, CA 92653-1347
(949) 707-5555
Mailing address
2704 S CAROLINA ST, SAN PEDRO, CA 90731-6512
(310) 832-6528

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
532
CA

Other

Enumeration date
05/17/2007
Last updated
07/08/2007
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