Individual
MS. DIXIE LYNN SUDHAKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1930 S BEVERLY GLEN BLVD, 202, LOS ANGELES, CA 90025-5158
(717) 475-2642
Mailing address
1930 BEVERLY GLEN BLVD, 202, LOS ANGELES, CA 90025-0257
(717) 475-2642
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 1743
CA
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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