Individual
AYN RYCCA MOSTRALES TEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
903 CRENSHAW BLVD STE 101, LOS ANGELES, CA 90019-1965
(323) 549-0100
(323) 549-0103
Mailing address
903 CRENSHAW BLVD STE 101, LOS ANGELES, CA 90019-1965
(323) 549-0100
(323) 549-0103
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4797
CA
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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