Individual
MR. ERNEST JOHN GENEROSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
24051 NEWHALL RANCH RD, VALENCIA, CA 91355-5702
(661) 254-6364
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23242
CA
Other
Enumeration date
07/18/2023
Last updated
10/04/2023
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