Individual
REBECCA LUCKETT BELSANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
580 S SAN VICENTE BLVD, LOS ANGELES, CA 90048-4621
(323) 782-1500
Mailing address
580 S SAN VICENTE BLVD, LOS ANGELES, CA 90048-4621
(323) 782-1500
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT9036
CA
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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