Individual
CHARISSA ENDOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2001 WILSHIRE BLVD STE 310, SANTA MONICA, CA 90403-5683
(310) 829-3320
Mailing address
2001 WILSHIRE BLVD STE 310, SANTA MONICA, CA 90403-5683
(310) 829-3320
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
22145
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22145
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
01
—
449539
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
CA
Enumeration date
03/23/2021
Last updated
04/04/2024
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