Individual
FELICIA SOFYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(909) 260-8192
Mailing address
1408 S BEVERLY GLEN BLVD APT 7, LOS ANGELES, CA 90024-6127
(909) 260-8192
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20174
CA
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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