Individual
LESLEY ANNE TORDILLA DIMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
514 N OAKLAND AVE, PASADENA, CA 91101-1112
(650) 797-9442
Mailing address
514 N OAKLAND AVE, PASADENA, CA 91101-1112
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5297
CA
Other
Enumeration date
03/20/2021
Last updated
03/20/2021
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