Individual
ALLIE PUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 N SAN DIMAS AVE # 219, SAN DIMAS, CA 91773-2664
(909) 519-8912
Mailing address
221 N SAN DIMAS AVE # 219, SAN DIMAS, CA 91773-2664
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6885
CA
Other
Enumeration date
09/04/2018
Last updated
07/01/2024
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