Individual
SOPHIA NICOLE LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11460 W WASHINGTON BLVD, LOS ANGELES, CA 90066-6030
(310) 337-7115
Mailing address
2201 TROJAN WAY # 3301, LOS ANGELES, CA 90033-2702
(801) 842-1447
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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