Individual
MS. ALEXIS ELIZABETH THEODORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
17042 BELLFLOWER BLVD, BELLFLOWER, CA 90706-5950
(562) 991-1324
(562) 502-9862
Mailing address
10 RIVAGE, NEWPORT COAST, CA 92657-0100
(970) 599-0210
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA5872
CA
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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