Individual
CHELSEA ALEXANDRA HERITAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11840 S LA CIENEGA BLVD, HAWTHORNE, CA 90250
(424) 269-3400
(310) 882-5451
Mailing address
515 EDGEWOOD ST, INGLEWOOD, CA 90302-3014
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4325
CA
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
02/07/2018
Last updated
06/13/2018
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