Individual
IRENE LOZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10800 DALE AVE, STANTON, CA 90680-2705
(000) 000-0000
Mailing address
933 S SUNSET AVE, WEST COVINA, CA 91790-3410
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3540
CA
Other
Enumeration date
11/22/2023
Last updated
09/24/2024
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