Individual
JONATHAN LEGASPI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 TERMINO AVE, LONG BEACH, CA 90804-4123
(562) 433-6791
Mailing address
21234 MONETA AVE, CARSON, CA 90745-1950
(562) 539-7235
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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