Individual
JESSIE TIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
655 MAPLE AVE, LOS ANGELES, CA 90014-2211
(213) 815-5471
Mailing address
655 MAPLE AVE, LOS ANGELES, CA 90014-2211
(213) 815-5471
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22998
CA
Other
Enumeration date
01/13/2022
Last updated
10/23/2025
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