Individual
VANESSA LIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26681 AVENIDA LAS PALMAS UNIT A, DANA POINT, CA 92624-1451
(818) 263-6039
Mailing address
26681 AVENIDA LAS PALMAS UNIT A, DANA POINT, CA 92624-1451
(818) 263-6039
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3060
CA
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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