Individual
LORENA CORREA VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT/CTRS
Contact information
Practice address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052
(310) 948-2780
Mailing address
2542 E 218TH PL, LONG BEACH, CA 90810-1703
(310) 948-2780
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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