Individual
ELISA BETH ORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8135 PAINTER AVE, STE 200, WHITTIER, CA 90602-3158
(562) 698-6600
Mailing address
1225 KORNBLUM AVE, TORRANCE, CA 90503-6012
(310) 265-3735
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA2842
CA
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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