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Individual

ALEJANDRA JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1225 W 190TH ST STE 103, GARDENA, CA 90248-4315
(310) 816-8680
Mailing address
22325 MAIN ST SPC 103, CARSON, CA 90745-4533

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
24246
CA

Other

Enumeration date
12/07/2022
Last updated
12/07/2022
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