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Ellen Park, OTR/L

NPI 1740892645 · on the registry since 2020 · sole proprietor

Practice

Address
3148 W 11th St
Los Angeles, CA 90006
Phone
(213) 200-2591

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California