Individual
VANESSA D MESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
11860 WILSHIRE BLVD, STE 100, LOS ANGELES, CA 90025-6613
(310) 795-4459
(310) 312-1139
Mailing address
11860 WILSHIRE BLVD, STE 100, LOS ANGELES, CA 90025-6613
(310) 795-4459
(310) 312-1139
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT4751
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT4751
STATE LICENSE
CA
Enumeration date
12/04/2008
Last updated
12/04/2008
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