Individual
TRINA URTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4916 VERDURA AVE, LAKEWOOD, CA 90712-3018
(562) 972-5750
Mailing address
4916 VERDURA AVE, LAKEWOOD, CA 90712-3018
(562) 972-5750
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1778
CA
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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