Individual
MRS. BRIANNA MICHELLE FINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L, CPAM
Contact information
Practice address
1955 LOMITA BLVD, LOMITA, CA 90717-1807
(310) 325-1970
Mailing address
1130 S PATTON AVE, SAN PEDRO, CA 90731-3429
(310) 429-8580
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11399
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT11399
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
08/31/2017
Last updated
08/31/2017
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