Individual
ANUSHA R HOSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1411 W 190TH ST STE 110, GARDENA, CA 90248-4370
(310) 719-3908
Mailing address
1411 W 190TH ST STE 110, GARDENA, CA 90248-4370
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20985
CA
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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