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NPI Code Detail

MEDICARE: MISS FLOR F ANIDJAR MA, OTR/L

MEDICARE: MISS FLOR F ANIDJAR MA, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist14910CA

General Provider Information

NPI Number : 1841540465
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS FLOR F ANIDJAR MA, OTR/L
Provider Business Mailing Address
First Line : 6820 S CENTINELA AVE
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6301
Country : US
Telephone Number : 310-337-7115
Fax Number :
Provider Business Practice Location Address
First Line : 6820 S CENTINELA AVE
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6301
Country : US
Telephone Number : 310-337-7115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2012
Last Update Date : 01/26/2015

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