Individual
ANJALI CARRASCO KOESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
11110 OHIO AVE, SUITE 206, LOS ANGELES, CA 90025
(310) 444-8812
Mailing address
2990 SO. SEPULVEDA BLVD, SUITE 308, LOS ANGELES, CA 90064
(323) 761-0262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
225X00000X
Occupational Therapist
12723
CA
Other
Enumeration date
08/21/2007
Last updated
09/12/2012
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