Individual
LYDIA JANE OKAFOR -AGILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10626 BALBOA BLVD, GRANADA HILLS, CA 91344-6329
(310) 902-5733
Mailing address
17067 JERSEY ST, GRANADA HILLS, CA 91344-4926
(310) 902-5733
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
8385
CA
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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