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Individual

MR. LESLIE ALBERT TORRUCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
3124 HALLETT AVE, LOS ANGELES, CA 90065-2112
(323) 227-0226
Mailing address
3124 HALLETT AVE, LOS ANGELES, CA 90065-2112
(323) 227-0226

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 769
CA

Other

Enumeration date
05/20/2010
Last updated
05/20/2010
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