Individual
MR. GENNADIY YESHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
7188 W SUNSET BLVD STE 200, LOS ANGELES, CA 90046-4446
(818) 927-9254
Mailing address
11910 WEDDINGTON ST UNIT 102, VALLEY VILLAGE, CA 91607-4402
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20143
CA
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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