Individual
JESSICA BAHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
26404 ROLLING VISTA DR, LOMITA, CA 90717-3602
(310) 993-4656
Mailing address
26404 ROLLING VISTA DR, LOMITA, CA 90717-3602
(310) 993-4656
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26820
CA
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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