Individual
LOVELY MOISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 TUDOR WAY APT 207, APT 207, BAKERSFIELD, CA 93306-7077
(954) 394-4132
Mailing address
6100 TUDOR WAY APT 207, APT 207, BAKERSFIELD, CA 93306-7077
(954) 394-4132
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA 14414
FL
224Z00000X
Occupational Therapy Assistant
Primary
OTA3298
CA
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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