Individual
MRS. TERRI ELAINE NISHIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
1815 W 213TH ST STE 100, TORRANCE, CA 90501-2852
(310) 328-0276
Mailing address
23235 GRANT AVE, TORRANCE, CA 90505-3557
(310) 375-2801
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3593
CA
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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