Individual
NADIA SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3533 MOTOR AVE, LOS ANGELES, CA 90034-4806
(310) 836-8900
Mailing address
PO BOX 66851, LOS ANGELES, CA 90066-0851
(619) 520-7502
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA2890
CA
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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