Individual
JULIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7801 STEWART AVE, LOS ANGELES, CA 90045
(310) 721-0949
Mailing address
7801 STEWART AVE, LOS ANGELES, CA 90045
(310) 721-0949
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2948
CA
225X00000X
Occupational Therapist
Primary
27005
CA
Other
Enumeration date
09/16/2014
Last updated
10/16/2024
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