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Individual

MRS. DEBORAH LYNN CORNWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
11301 WILSHIRE BLVD # 117, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4935
Mailing address
11301 WILSHIRE BLVD # 117, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4935

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1556
CA

Other

Enumeration date
06/12/2008
Last updated
06/12/2008
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