Individual
MS. JUDITH S UNGAR FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA OTR/L
Contact information
Practice address
6127 W 77TH ST, LOS ANGELES, CA 90045-1641
(310) 710-3767
Mailing address
6127 W 77TH ST, LOS ANGELES, CA 90045-1641
(310) 710-3767
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5178
CA
Other
Enumeration date
04/01/2013
Last updated
12/07/2021
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