Individual
ASHWINI SUBHASH VAISHAMPAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
8717 VENICE BLVD, LOS ANGELES, CA 90034-3216
(310) 337-7115
(310) 216-6153
Mailing address
8717 VENICE BLVD, LOS ANGELES, CA 90034-3216
(310) 337-7115
(310) 216-6153
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT11407
CA
225XP0200X
Pediatric Occupational Therapist
Primary
OT11407
CA
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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