Ellie Mary Pavlov Krause
Occupational Therapist - Hand
2040 Pacific Coast Hwy
Lomita
, California 90717-2660
Ellie Mary Pavlov Krause
Occupational Therapist - Hand
2040 Pacific Coast Hwy
Lomita
, California 90717-2660
(310) 832-6253
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About
Features
Specialties
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Ellie Mary Pavlov Krause
- 1736 W 1st St
- San Pedro, CA
- Zip : 90732-3107
- Phone : (310) 832-6253
Second Address
- Ellie Mary Pavlov Krause
- 2040 Pacific Coast Hwy
- Lomita, CA
- Zip : 90717-2660
- Phone : (310) 257-6408
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XH1200X | Occupational Therapist - Hand | 1344 | CA |
National Provider Identifier
| NPI | 1053434548 |
|---|---|
| Provider Name | Ellie Mary Pavlov Krause |
| First Address | San Pedro, CA 90732-3107 |
| Second Address | Lomita, CA 90717-2660 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2007 |
| Last Update Date | 01/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.