Casey Mamora, OTR/L

NPI #1194345157 in La Verne, California

Provider Information

NPI Number: 1194345157
Entity Type: Individual
Name: Casey Mamora, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Apr 20, 2020
Last Updated: Apr 20, 2020

Practice Location

Address: 2061 WRIGHT AVE STE A7
City: La Verne
State: California
ZIP Code: 91750-5813
Phone: (909) 519-8912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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