Individual
MA. ALYSSA FELICIA ADORABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2625 TOWNSGATE RD STE 102, WESTLAKE VILLAGE, CA 91361-5726
(805) 413-3009
Mailing address
8932 ETIWANDA AVE, NORTHRIDGE, CA 91325-2711
(818) 813-0203
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5507
CA
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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