Individual
MISS JILL O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1 LMU DR, LOS ANGELES, CA 90045-2650
(310) 338-2340
(310) 338-5191
Mailing address
12239 W WASHINGTON BLVD, APT B, LOS ANGELES, CA 90066-5518
(805) 801-0170
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
729
OK
Other
Enumeration date
12/28/2012
Last updated
07/27/2020
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