Individual
JONATHAN M AUSTRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1300 N VERMONT AVE, LOS ANGELES, CA 90027-6098
(213) 413-3000
Mailing address
18238 LAGUNA PL, FONTANA, CA 92336-3059
(909) 201-4128
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5441
CA
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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