Individual
ELLEN JAYNE OVERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
3460 TORRANCE BLVD STE 100, TORRANCE, CA 90503-5812
(310) 371-8555
Mailing address
3460 TORRANCE BLVD STE 100, TORRANCE, CA 90503-5812
(310) 371-8555
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
010001599
DC
225XP0200X
Pediatric Occupational Therapist
0119008037
VA
225XP0200X
Pediatric Occupational Therapist
Primary
26793
CA
Other
Enumeration date
02/27/2019
Last updated
09/18/2024
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