Individual
EILEEN MICHELLE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12008 MAIDSTONE AVE, NORWALK, CA 90650-2324
(562) 335-3841
Mailing address
12008 MAIDSTONE AVE, NORWALK, CA 90650-2324
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
317092
CA
225XP0200X
Pediatric Occupational Therapist
317092
CA
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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