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Individual

TRISHA WILLIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100
Mailing address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT25606
CA
225XM0800X
Mental Health Occupational Therapist
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/22/2023
Last updated
08/21/2025
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