Individual
ALYSSA CHRISTIANA BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1034 W 34TH STREET SUITE 452, LOS ANGELES, CA 90089-0001
(310) 872-0710
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-3340
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT23044
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
462701
NBCOT
—
01
—
OT23044
CBOT
CA
Enumeration date
01/10/2022
Last updated
06/26/2023
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