Individual
CARLI JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1640 MARENGO STREET HRA SUITE 500, LOS ANGELES, CA 90089-0001
(323) 442-3340
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-3340
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10253
CA
Other
Enumeration date
10/18/2021
Last updated
02/04/2022
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