Individual
JILIAN FLORES LEGASPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1228 E 218TH ST, CARSON, CA 90745-2304
(310) 408-7549
Mailing address
1228 E 218TH ST, CARSON, CA 90745-2304
(310) 408-7549
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19633
CA
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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