Tarra Dee Provisor
ActiveCalifornia license 12052
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 12052
- Status
- Active (Current)
- First issued
- August 2, 2011
- Expires
- August 31, 2028
- License holder
- Tarra Dee Provisor
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
4807 Asteria St
Torrance, CA 90503-2805
Torrance, CA 90503-2805
Los Angeles County