Individual
EMMA ISACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
219 S BARRINGTON AVE APT 103, LOS ANGELES, CA 90049-3332
(310) 579-5218
Mailing address
2801 CLUNE AVE, VENICE, CA 90291-4653
(310) 579-5218
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
468948
CA
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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