Individual
KAREN COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W 6TH ST STE 111, LOS ANGELES, CA 90017-1823
(323) 404-1027
Mailing address
625 FAIR OAKS AVE STE 200, SOUTH PASADENA, CA 91030-2694
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
L1581923
MI
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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