Individual
MS. TAYLOR ALEXIS TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10664 SAINT JAMES DR, CULVER CITY, CA 90230-5498
(310) 838-2778
Mailing address
14101 MARQUESAS WAY APT 4413, MARINA DEL REY, CA 90292-7463
(443) 944-7193
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6343
CA
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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