Individual
VANNESSA MONDEJAR OCAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1515 N ALEXANDRIA AVE, LOS ANGELES, CA 90027-5203
(323) 660-1800
Mailing address
1216 N ALEXANDRIA AVE, LOS ANGELES, CA 90029-1404
(213) 258-8562
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4233
CA
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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