Individual
DEBBIE CORNEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3251 W 6TH ST STE 401, LOS ANGELES, CA 90020-5029
(310) 954-9614
Mailing address
292 S LA CIENEGA BLVD STE 250, BEVERLY HILLS, CA 90211-3357
(310) 954-9614
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4694
CA
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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