Individual
MRS. LISETTE OCHOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(323) 496-7958
Mailing address
6900 ADAMSON AVE, BELL GARDENS, CA 90201-4020
(323) 496-7958
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2450
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2450
—
CA
Enumeration date
07/17/2017
Last updated
07/21/2022
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