| NPI | 1477154011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYJONN VELAZQUEZ Otr/L 213-787-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2021-01-26 |