Individual
JULIA SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
21817 FIGUEROA ST UNIT 2, CARSON, CA 90745-1936
(818) 913-5696
Mailing address
21817 FIGUEROA ST UNIT 2, CARSON, CA 90745-1936
(818) 913-5696
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3204
CA
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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