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Contact Information

LIFEWAY-GAMBURD LLC
12405 MONTAGUE ST
PACOIMA, CA91331-2122
 Phone: 310-861-7476
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

225XE0001X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LIFEWAY GAMBURD LLC · (Female)

NPI Number 1215615646
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2023
Last updated 07/06/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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