Individual
MARVYN MITCHELL TIU NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, OTR/L, OTRP
Contact information
Practice address
11460 W WASHINGTON BLVD, LOS ANGELES, CA 90066-6030
(310) 337-7115
Mailing address
2215 ALCAZAR ST, LOS ANGELES, CA 90033-1003
(661) 293-9926
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
24232
CA
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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