Individual
MARY LIZ LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1013 SHULTZ LN, SANTA MARIA, CA 93455-4045
(805) 252-3746
Mailing address
1013 SHULTZ LN, SANTA MARIA, CA 93455-4045
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2979
CA
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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