Individual
MS. ANDREA JO HULSHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23560 CRENSHAW BLVD, STE 103, TORRANCE, CA 90505-5233
(310) 784-2366
(310) 517-0889
Mailing address
23560 CRENSHAW BLVD, STE 103, TORRANCE, CA 90505-5233
(310) 784-2366
(310) 517-0889
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4730
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ66202Z
BLUE SHIELD
CA
Enumeration date
10/17/2006
Last updated
07/08/2007
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