LICHELLE AYESHA FERNANDO

LOS ANGELES, CA
NPI1225161565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: CA  9200)
Enumeration Date2007-03-14
Last Update Date2007-10-26
Business Address
Miss LICHELLE AYESHA FERNANDO OTR
4650 W SUNSET BLVD
LOS ANGELES, CA 90027-6062
Phone number: 323-669-2118
Mailing Address
Miss LICHELLE AYESHA FERNANDO OTR
4335 WILLIS AVE # 103
SHERMAN OAKS, CA 91403
Phone number: 773-895-4575